Individual provider Active NPI

Michael Kaiser

  • Endodontics
  • Spring, TX
National Provider Identifier
1992925879
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22224 Issued in TX
Practice address
20631 Kuykendahl Rd Ste 140
Spring, TX 77379-3318
Phone
(281) 655-0603
Fax
(281) 655-0605
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 22224 TX Primary

Addresses

Primary practice location

20631 Kuykendahl Rd Ste 140
Spring, TX 77379-3318

Mailing address

20631 Kuykendahl Rd Ste 140
Spring, TX 77379-3318
Phone (281) 655-0603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820000873 TX Order and Referring Only - DentistPractitioner - Dentist 8921403577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. Endodontics Past Accepting new patients
Michael Kaiser, DDS PLLC Endodontics PastSince Jul 5, 2020 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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1992925879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20631 KUYKENDAHL RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793318",
            "telephone_number": "281-655-0603",
            "fax_number": "281-655-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20631 KUYKENDAHL RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793318",
            "telephone_number": "281-655-0603",
            "fax_number": "281-655-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "22224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.