Organization Active NPI

Lighthouse Surgical Holdings PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1477128395
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LIGHTHOUSE SURGICAL HOLDINGS PLLC
Practice address
6560 Fannin St Ste 614
Houston, TX 77030-2727
Phone
(713) 790-1995
Fax
(713) 790-9562
NPI assigned
May 24, 2021
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Justin J Seaman, DDS MDNPI 1518212943
Title
Owner
Phone
(713) 790-1995

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

6560 Fannin St Ste 614
Houston, TX 77030-2727

Mailing address

6560 Fannin St Ste 614
Houston, TX 77030-2727
Phone (713) 790-1995

Other practice location 1

11451 Katy Fwy Ste 200
Houston, TX 77079-0012
Phone (346) 867-3139

Other names 1

  • Lighthouse Oral and Maxillofacial Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202000758 TX Part B Supplier - Clinic/Group Practice 0244620599 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11451 Katy Fwy
Ste 200
Houston, TX 77079
Phone (346) 867-3139

6560 Fannin St
Ste 614
Houston, TX 77030
Phone (713) 790-1995

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1477128395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-790-1995",
            "fax_number": "713-790-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-790-1995",
            "fax_number": "713-790-9562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11451 Katy Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770790012",
            "country_code": "US",
            "telephone_number": "346-867-3139",
            "fax_number": "346-406-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE SURGICAL HOLDINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-790-1995",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Oral and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.