NPIMap

Organization Active NPI

United Smile Center PA

  • Dentist
  • Celina, TX
National Provider Identifier
1003322678
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23268 Issued in TX
Legal business name
UNITED SMILE CENTER PA
Practice address
3248 S Preston Rd Ste 140
Celina, TX 75009-3899
Phone
(214) 851-0130
Fax
(214) 851-0111
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dorothy Hernandez
Title
Credentialing Agent
Phone
(928) 779-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23268 TX Primary

Addresses

Primary practice location

3248 S Preston Rd Ste 140
Celina, TX 75009-3899

Mailing address

3248 S Preston Rd Ste 140
Celina, TX 75009-3899
Phone (214) 851-0130

Other identifiers 2

IdentifierTypeStateIssuer
23268OtherTX1972795532
23268OtherTXLICENSE

Other names 1

  • CELINA FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3248 S Preston Rd
Ste 140
Celina, TX 75009
Phone (214) 851-0130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003322678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 S PRESTON RD STE 140",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093899",
            "telephone_number": "214-851-0130",
            "fax_number": "214-851-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 S PRESTON RD STE 140",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093899",
            "telephone_number": "214-851-0130",
            "fax_number": "214-851-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SMILE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "928-779-4404"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1972795532",
            "identifier": "23268",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CELINA FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.