Individual provider Active NPI

David Mouritsen, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spring, TX
National Provider Identifier
1811239510
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25478 Issued in TX
Practice address
2211 Rayford Rd Ste 117
Spring, TX 77386-1548
Phone
(281) 367-2211
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25478 TX Primary

Addresses

Primary practice location

2211 Rayford Rd Ste 117
Spring, TX 77386-1548

Mailing address

8754 Research Blvd
Austin, TX 78758-6420
Phone (254) 526-8666

Other practice location 1

31311 Fm 2978 Rd Ste 101
Magnolia, TX 77354-2765
Phone (281) 356-3636

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25478TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Mouritsen, DDS, Ms, PLLC Orthodontics and Dentofacial Orthopedics PastSince Mar 5, 2023 Accepting new patients
Scott Law Ortho Corp, PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1811239510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8754 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586420",
            "telephone_number": "254-526-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RAYFORD RD STE 117",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861548",
            "telephone_number": "281-367-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31311 Fm 2978 Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773542765",
            "country_code": "US",
            "telephone_number": "281-356-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURITSEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2023; 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.