NPIMap

Organization Active NPI

Woodlands Endodontics, P.C.

  • Endodontics
  • The Woodlands, TX
National Provider Identifier
1740339191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
17657 Issued in TX
Legal business name
WOODLANDS ENDODONTICS, P.C.
Practice address
9001 Forest Xing
Suite G
The Woodlands, TX 77381-1180
Phone
(281) 681-0100
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel Bradley Mize, D.D.S.NPI 1477674653
Title
President
Phone
(281) 681-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 17657 TX Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 19217 TX

Addresses

Primary practice location

9001 Forest Xing
Suite G
The Woodlands, TX 77381-1180

Mailing address

9001 Forest Xing
Suite G
The Woodlands, TX 77381-1180
Phone (281) 681-0100

National Provider Directory

National Provider Directory

Locations

9001 Forest Xing
Ste G
The Woodlands, TX 77381
Phone (281) 681-0100

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740339191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 FOREST XING",
            "address_2": "SUITE G",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811180",
            "telephone_number": "281-681-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 FOREST XING",
            "address_2": "SUITE G",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811180",
            "telephone_number": "281-681-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-681-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "17657",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.