Jean-Marc Edouard Choufani, BDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

41364 Issued in TX

Practice address

1605 Hewitt Dr Ste 102
Woodway, TX 76712-8628

Phone

(254) 313-3148

NPI assigned

Jul 6, 2024

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• House, Lee, Mast, McDonald and Nelson, PC

  dba Advanced Pediatric Dentistry and Orthodontics of Pasco

  • Pediatric Dentistry
  • Pasco, WA
  • NPI 1033347950

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1639915804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W CENTRAL TEXAS EXPY STE 203",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HEWITT DR STE 102",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128628",
            "telephone_number": "254-313-3148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 Clear Creek Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765495954",
            "country_code": "US",
            "telephone_number": "254-307-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Eastgate Plz",
            "address_purpose": "LOCATION",
            "city": "Bellmead",
            "state": "TX",
            "postal_code": "767052868",
            "country_code": "US",
            "telephone_number": "254-492-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1512 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607678",
            "country_code": "US",
            "telephone_number": "512-400-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Central Texas Expy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765481896",
            "country_code": "US",
            "telephone_number": "254-307-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUFANI",
        "first_name": "JEAN-MARC",
        "middle_name": "EDOUARD",
        "credential": "BDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "41364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Woodway, TX
• Providers in Woodway, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.