Organization Active NPI

Springwoods Village Dental Group

  • Dentist
  • Spring, TX
National Provider Identifier
1679365233
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SPRINGWOODS VILLAGE DENTAL GROUP
Doing business as
Springwoods Village Dental
Practice address
2255 East Mossy Oaks Rd
Suite 640
Spring, TX 77389-1768
Phone
(281) 547-0101
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Christina Michelle Clark, DDS
Title
S Corp Owner
Phone
(253) 254-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2255 East Mossy Oaks Rd
Suite 640
Spring, TX 77389-1768

Mailing address

2255 East Mossy Oaks Rd
Suite 640
Spring, TX 77389-1768
Phone (281) 547-0101

Other names 1

  • Springwoods Village Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2255 E Mossy Oaks Rd
Ste 640
Spring, TX 77389
Phone (281) 547-0101

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1679365233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 EAST MOSSY OAKS RD",
            "address_2": "SUITE 640",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891768",
            "telephone_number": "281-547-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 EAST MOSSY OAKS RD",
            "address_2": "SUITE 640",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891768",
            "telephone_number": "281-547-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWOODS VILLAGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "S CORP OWNER",
        "authorized_official_telephone_number": "253-254-1604",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwoods Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 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.