NPIMap

Organization Active NPI

Spring Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring, TX
National Provider Identifier
1649857962
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SPRING ORAL SURGERY & DENTAL IMPLANT CENTER
Practice address
3466 Discovery Creek Blvd Ste 250
Spring, TX 77386-7130
Phone
(281) 801-7866
Fax
(281) 801-7867
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mrs. Jacqueline Carranza
Title
General Manager
Phone
(281) 256-8400

Specialties & licenses 1

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

Addresses

Primary practice location

3466 Discovery Creek Blvd Ste 250
Spring, TX 77386-7130

Mailing address

26321 Northwest Fwy Ste 700
Cypress, TX 77429-5759
Phone (281) 256-8400

National Provider Directory

National Provider Directory

Locations

3466 Discovery Creek Blvd
Ste 250
Spring, TX 77386
Phone (281) 801-7866

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": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1649857962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY STE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295759",
            "telephone_number": "281-256-8400",
            "fax_number": "281-256-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 DISCOVERY CREEK BLVD STE 250",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867130",
            "telephone_number": "281-801-7866",
            "fax_number": "281-801-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ORAL SURGERY & DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "281-256-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.