Platinum Facial Surgical Group

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

23794 Issued in TX

Legal business name

PLATINUM FACIAL SURGICAL GROUP

Practice address

10857 Kuykendahl Rd Ste 150
The Woodlands, TX 77382-2777

Phone

(281) 419-3223

Fax

(713) 436-0892

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. J. Enrique Tabarini, DDS,MS

Title

Owner/ Oral Surgeon

Phone

(281) 419-3223

Specialties & licenses 1

Addresses

Other names 1

• Woodlands Oral and Facial Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1821496423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822777",
            "telephone_number": "281-419-3223",
            "fax_number": "713-436-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822777",
            "telephone_number": "281-419-3223",
            "fax_number": "713-436-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM FACIAL SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "TABARINI",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER/ ORAL SURGEON",
        "authorized_official_telephone_number": "281-419-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Oral and Facial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payton Elizabeth Pippin, OTR
• Meghan Piro
• Jordan Pittard
• Ana Rosa Pizarro Padilla, MD
• Kathy Adriana Plascencia, LMHC, LPC
• Platinum Plus Health Consultants PLLC
• Polaris Eeg and Diagnostics
• Elizabeth Davenport Pollock
• Gabriel Luis Polo, D.D.S.
• Candice Polochak Arrambide, FNP-C, ENP-C

• Oral and Maxillofacial Surgery (Dentist) in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.