Organization Active NPI

Clear Creek Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • League City, TX
National Provider Identifier
1235847898
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CLEAR CREEK ORTHODONTICS, PLLC
Practice address
351 N Wesley Dr
League City, TX 77573-3684
Phone
(281) 332-8545
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Siller, DDS, MSDNPI 1528794427
Title
Owner, Orthodontist
Phone
(409) 370-3513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

351 N Wesley Dr
League City, TX 77573-3684

Mailing address

351 N Wesley Dr
League City, TX 77573-3684
Phone (281) 332-8545

National Provider Directory

National Provider Directory

Locations

351 N Wesley Dr
League City, TX 77573
Phone (281) 332-8545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1235847898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N WESLEY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733684",
            "telephone_number": "281-332-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N WESLEY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733684",
            "telephone_number": "281-332-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, ORTHODONTIST",
        "authorized_official_telephone_number": "409-370-3513",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.