NPIMap

Organization Active NPI

Kristi Sumpter, DO, PA

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1730287392
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
L0630 Issued in TX
Legal business name
KRISTI SUMPTER, DO, PA
Practice address
12827 Jones Rd
Houston, TX 77070-4605
Phone
(281) 894-9990
Fax
(281) 894-9993
NPI assigned
Sep 20, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Kristi Kaye Sumpter, M.D.NPI 1366540932
Title
President
Phone
(281) 894-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L0630 TX
Plastic and Reconstructive Surgery Physician 2086S0122X L0630 TX Primary

Addresses

Primary practice location

12827 Jones Rd
Houston, TX 77070-4605

Mailing address

12827 Jones Rd
Houston, TX 77070-4605
Phone (281) 894-9990

Other identifiers 2

IdentifierTypeStateIssuer
040033502MedicaidTX
0025JVOtherBCBS

Other names 1

  • Winds of Change Cosmetic Surgery Other name

National Provider Directory

National Provider Directory

Locations

12827 Jones Rd
Houston, TX 77070
Phone (281) 894-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1730287392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12827 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704605",
            "telephone_number": "281-894-9990",
            "fax_number": "281-894-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12827 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704605",
            "telephone_number": "281-894-9990",
            "fax_number": "281-894-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI SUMPTER, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-894-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0630",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "L0630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040033502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0025JV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winds of Change Cosmetic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.