NPIMap

Organization Active NPI

Advanced Implant and Periodontal Professionals PA

  • Periodontics
  • The Woodlands, TX
National Provider Identifier
1275812430
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
21111 Issued in TX
Legal business name
ADVANCED IMPLANT AND PERIODONTAL PROFESSIONALS PA
Practice address
1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249
Phone
(281) 681-2422
Fax
(866) 352-0357
NPI assigned
Aug 5, 2011
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Dr. Jason D. West, DDS, MSNPI 1871667543
Title
Owner/Provider
Phone
(281) 681-2422

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 21111 TX Primary

Addresses

Primary practice location

1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249

Mailing address

1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249
Phone (281) 681-2422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1275812430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE #140",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-681-2422",
            "fax_number": "866-352-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE #140",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-681-2422",
            "fax_number": "866-352-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMPLANT AND PERIODONTAL PROFESSIONALS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "281-681-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.