Obsidian Management Group LLC

Public-record details

Address

3117 College Park Dr Ste 150, The Woodlands, TX 77384

Phone

(936) 231-8568

Listed under

Oral & maxillofacial surgeons, Specialty practices

NPI

1477216620

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Oral and Maxillofacial Surgery (1223S0112X)

Authorized official

Becky Berrill, Office Manager

NPI first issued

Oct 14, 2021

NPI record last updated

Nov 4, 2021

NPI 1477216620 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1477216620 in the official registry ↗