Individual provider Active NPI

James Robert Tejada II, D.D.S.

  • Dentist
  • Spring, TX
National Provider Identifier
1821441189
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32032 Issued in TX
Practice address
24527 Gosling Rd # D-120
Spring, TX 77389-3214
Phone
(832) 930-7795
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32032 TX Primary

Addresses

Primary practice location

24527 Gosling Rd # D-120
Spring, TX 77389-3214

Mailing address

24527 Gosling Rd # D-120
Spring, TX 77389-3214
Phone (832) 930-7795

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

State licenses

LicenseStateTypeSpecialty
32032TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodsprings Dentistry CurrentSince May 17, 2020 Accepting new patients
Sabal Dental Marino PLLC PastSince Dec 29, 2019 Accepting new patients
Charles E Stewart DDS PA Dentist Past Accepting new patients

Locations

24527 Gosling Rd
Ste D120
Spring, TX 77389
Phone (832) 930-7795

Organizations & group practices 3

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1821441189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24527 GOSLING RD # D-120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773893214",
            "telephone_number": "832-930-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24527 GOSLING RD # D-120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773893214",
            "telephone_number": "832-930-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32032",
            "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 May 14, 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.