Kip W Saunders, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10872 Issued in TX

Practice address

3 Grogans Park Dr
Suite 103
Spring, TX 77380-2192

Phone

(281) 292-1833

Fax

(281) 292-2125

NPI assigned

Jun 7, 2008

Last updated

Jun 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 5, 2013 through Apr 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kip W Saunders DDS Ms Inc

  dba Periodontal Center of Excellence

  • Periodontics
  • Spring, TX
  • NPI 1740343839
  NPD (past)
• Periodontal Center of Excellence PLLC

  • Periodontics
  • Spring, TX
  • NPI 1942928502
  NPD (past)

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1538328281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DR",
            "address_2": "SUITE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802192",
            "telephone_number": "281-292-1833",
            "fax_number": "281-292-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DR",
            "address_2": "SUITE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802192",
            "telephone_number": "281-292-1833",
            "fax_number": "281-292-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "KIP",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "10872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Denise Sartori, LMFT-A
• Neimar Sartori, DDS, MD, PHD
• Sas Group Inc (Amen Hospice Huntsville)
• Sharon Sason, OT
• Nastassja Nakena Sassau
• Mackenzie Saunders
• Carleen Saures
• Erin Stephanie Savage, RBT
• Shayma Sayyad
• Scalify Agency LLC

• Periodontics in Spring, TX
• Providers in Spring, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.