Active NPI
Subtle Smiles
- Dentist
- Stafford, TX
National Provider Identifier
1003269259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SUBTLE SMILES
- Practice address
- 4915 S. Main St
#107
Stafford, TX 77477-6307 - Phone
- (281) 491-3626
- Fax
- (281) 491-3629
- NPI assigned
- Jul 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Youngs
- Title
- Owner
- Phone
- (281) 491-3626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4915 S. Main St
#107
Stafford, TX 77477-6307
Mailing address
4915 S. Main St
#107
Stafford, TX 77477-6307
Phone (281) 491-3626
National Provider Directory
National Provider DirectoryLocations
4915 S Main St
Ste 107
Stafford, TX 77477
Phone (281) 491-3626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Stafford, TX
- NPI 1073626487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469145600000",
"number": "1003269259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 S. MAIN ST",
"address_2": "#107",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776307",
"telephone_number": "281-491-3626",
"fax_number": "281-491-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 S. MAIN ST",
"address_2": "#107",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776307",
"telephone_number": "281-491-3626",
"fax_number": "281-491-3629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBTLE SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A",
"authorized_official_last_name": "YOUNGS",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-491-3626"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.