Northwest Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTHWEST ORAL & MAXILLOFACIAL SURGERY

Practice address

4185 Technology Forest Blvd
Suite 100
The Woodlands, TX 77381-2006

Phone

(281) 296-9562

Fax

(281) 296-9774

NPI assigned

May 20, 2008

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna K Kotsios

Title

Practice Administrator

Phone

(281) 296-9562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1831356542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812006",
            "telephone_number": "281-296-9562",
            "fax_number": "281-296-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812006",
            "telephone_number": "281-296-9562",
            "fax_number": "281-296-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "KOTSIOS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-296-9562",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Houston Surgical Assist, LLC
• North Woods Family Medicine PLLC
• Northern Star ABA, LLC
• Northland Hearing Centers, Inc (NewSound Hearing Aid Centers)
• Northwest Imaging Center, LTD.
• Alexander Reese Norton, MD
• Rebecca Nosich
• Susan Novak, LPC
• Emma Gray Nunez, RBT
• Jessica Bowen Nunez, MA, LPA-IP

• 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 May 15, 2013; 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.