Organization Active NPI

Woodlands Dental Specialists

  • Endodontics
  • The Woodlands, TX
National Provider Identifier
1275925430
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10159 Issued in TX
Legal business name
WOODLANDS DENTAL SPECIALISTS
Practice address
1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249
Phone
(281) 893-1060
Fax
(281) 893-6807
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Mrs. Sarah Gomez
Title
Office Manager
Phone
(281) 359-1011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 10159 TX Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 19898 TX
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 27350 TX

Addresses

Primary practice location

1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249

Mailing address

1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249
Phone (281) 893-1060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1275925430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-893-1060",
            "fax_number": "281-893-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-893-1060",
            "fax_number": "281-893-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-359-1011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "10159",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19898",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "27350",
            "primary": false
        }
    ],
    "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 Feb 25, 2015; 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.