Organization Active NPI

Summerwood Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1467709865
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SUMMERWOOD ORAL & MAXILLOFACIAL SURGERY
Practice address
13141 W Lake Houston Pkwy
Ste. 700
Houston, TX 77044
Phone
(281) 256-8400
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Alex Bachoura, DDS,MD
Title
President
Phone
(713) 817-4557

Specialties & licenses 1

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

Addresses

Primary practice location

13141 W Lake Houston Pkwy
Ste. 700
Houston, TX 77044

Mailing address

26321 Northwest Freeway
Ste. 700
Cypress, TX 77429
Phone (832) 689-6311

National Provider Directory

National Provider Directory

Locations

13141 W Lake Houston Pkwy
Ste 700
Houston, TX 77044
Phone (281) 256-8400

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1467709865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FREEWAY",
            "address_2": "STE. 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "832-689-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 W LAKE HOUSTON PKWY",
            "address_2": "STE. 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77044",
            "telephone_number": "281-256-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERWOOD ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "BACHOURA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-817-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.