Organization Active NPI

The Tooth Lodge

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1356218804
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE TOOTH LODGE
Practice address
6820 FM 2920 Ste 190
Spring, TX 77379
Phone
(346) 298-7679
Fax
(346) 298-7680
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Afreen Ansari, DDSNPI 1851924633
Title
Dentist
Phone
(346) 298-7679

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6820 FM 2920 Ste 190
Spring, TX 77379

Mailing address

6820 FM 2920
Ste 190
Spring, TX 77379
Phone (832) 312-1794

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.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1356218804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 FM 2920",
            "address_2": "STE 190",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "832-312-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 FM 2920 STE 190",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "346-298-7679",
            "fax_number": "346-298-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "AFREEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "346-298-7679",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.