Organization Active NPI

Kingwood Dental Specialists PC

Doing business as Greater Houston Dental Specialists

  • Prosthodontics
  • Kingwood, TX
National Provider Identifier
1255616538
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18851 Issued in TX
Legal business name
KINGWOOD DENTAL SPECIALISTS PC
Doing business as
Greater Houston Dental Specialists
Practice address
1414 Green Oak Terrace CT Ste 400
Kingwood, TX 77339-2960
Phone
(281) 359-1011
NPI assigned
Oct 18, 2011
Last updated
Oct 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Becky Keefer
Title
Accounts Receivable MGR
Phone
(832) 399-7450

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22853 TX
Periodontics 1223P0300X 22814 TX
Periodontics 1223P0300X 19503 TX
Prosthodontics 1223P0700X 18851 TX Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22605 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11684 TX

Addresses

Primary practice location

1414 Green Oak Terrace CT Ste 400
Kingwood, TX 77339-2960

Mailing address

1414 Green Oak Terrace CT Ste 400
Kingwood, TX 77339-2960
Phone (281) 359-1011

Other names 1

  • Greater Houston Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1414 Green Oak Terrace Ct
Ste 400
Kingwood, TX 77339
Phone (281) 359-1011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1255616538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GREEN OAK TERRACE CT STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392960",
            "telephone_number": "281-359-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 GREEN OAK TERRACE CT STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392960",
            "telephone_number": "281-359-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD DENTAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "KEEFER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MGR",
        "authorized_official_telephone_number": "832-399-7450"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22853",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "22814",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19503",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18851",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22605",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Houston Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.