NPIMap

Organization Active NPI

Woodlands Elite Dental Partners, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring, TX
National Provider Identifier
1407969009
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WOODLANDS ELITE DENTAL PARTNERS, PLLC
Practice address
25300 Borough Park Dr
Spring, TX 77380-3552
Phone
(281) 296-0052
Fax
(281) 296-0118
NPI assigned
Aug 16, 2006
Organization subpart
Yes
Parent organization
ALLAN HAMBURG D.D.S.,P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dea Ann Kipp
Title
Dir. Operations/Profesional Relatio
Phone
(281) 296-8600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

25300 Borough Park Dr
Spring, TX 77380-3552

Mailing address

26615 Oak Ridge Dr
The Woodlands, TX 77380-1968
Phone (281) 296-8600

Other identifiers 1

IdentifierTypeStateIssuer
163478401MedicaidTX

Other names 1

  • Woodlands Dental Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allan Hamburg DDS PC7 organizations share this tax ID, including this one
Part of
Allan Hamburg DDS PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25300 Borough Park Dr
The Woodlands, TX 77380
Phone (281) 296-0052

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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1407969009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801968",
            "telephone_number": "281-296-8600",
            "fax_number": "281-296-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25300 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803552",
            "telephone_number": "281-296-0052",
            "fax_number": "281-296-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS ELITE DENTAL PARTNERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLAN HAMBURG D.D.S.,P.C.",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "KIPP",
        "authorized_official_first_name": "DEA ANN",
        "authorized_official_title_or_position": "DIR. OPERATIONS/PROFESIONAL RELATIO",
        "authorized_official_telephone_number": "281-296-8600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163478401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlands Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2023; 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.