Organization Active NPI

Southwest Endodontic Specialists, L.L.P.

  • Endodontics
  • Lake Jackson, TX
National Provider Identifier
1376447185
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SOUTHWEST ENDODONTIC SPECIALISTS, L.L.P.
Practice address
103 Abner Jackson Pkwy Ste B
Lake Jackson, TX 77566-5172
Phone
(979) 266-9490
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST ENDODONTIC SPECIALISTS, L.L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

103 Abner Jackson Pkwy Ste B
Lake Jackson, TX 77566-5172

Mailing address

103 Abner Jackson Pkwy Ste B
Lake Jackson, TX 77566-5172
Phone (979) 266-9490

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1376447185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ABNER JACKSON PKWY STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665172",
            "telephone_number": "979-266-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ABNER JACKSON PKWY STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665172",
            "telephone_number": "979-266-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ENDODONTIC SPECIALISTS, L.L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST ENDODONTIC SPECIALISTS, L.L.P.",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.