Individual provider Active NPI

Lauren Bautsch Malitz, D.D.S.

  • Dentist
  • Kingwood, TX
National Provider Identifier
1669672002
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23411 Issued in TX
Practice address
2815 W Lake Houston Pkwy
Suite 107
Kingwood, TX 77339-5227
Phone
(281) 361-2011
Fax
(281) 360-6517
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23411 TX Primary

Addresses

Primary practice location

2815 W Lake Houston Pkwy
Suite 107
Kingwood, TX 77339-5227

Mailing address

2815 W Lake Houston Pkwy
Suite 107
Kingwood, TX 77339-5227
Phone (281) 361-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1669672002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 107",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395227",
            "telephone_number": "281-361-2011",
            "fax_number": "281-360-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 107",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395227",
            "telephone_number": "281-361-2011",
            "fax_number": "281-360-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALITZ",
        "first_name": "LAUREN",
        "middle_name": "BAUTSCH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.