NPIMap

Organization Active NPI

Kip W Saunders DDS Ms Inc

Doing business as Periodontal Center of Excellence

  • Periodontics
  • Spring, TX
National Provider Identifier
1740343839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10872 Issued in TX
Legal business name
KIP W SAUNDERS DDS MS INC
Doing business as
Periodontal Center of Excellence
Practice address
3 Grogans Park Drive
Suite 103
Spring, TX 77380
Phone
(281) 292-1833
Fax
(281) 292-2125
NPI assigned
Dec 19, 2006
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
Mrs. Katie S Perkins
Title
Office Manager
Phone
(281) 292-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 10872 TX Primary

Addresses

Primary practice location

3 Grogans Park Drive
Suite 103
Spring, TX 77380

Mailing address

3 Grogans Park Drive
Suite 103
Spring, TX 77380
Phone (281) 292-1833

Other names 1

  • Periodontal Center of Excellence Doing business as

National Provider Directory

National Provider Directory

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740343839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-292-1833",
            "fax_number": "281-292-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-292-1833",
            "fax_number": "281-292-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP W SAUNDERS DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-292-1833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "10872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal Center of Excellence",
            "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 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.