NPIMap

Organization Active NPI

Smiles of Snyder PLLC

  • General Practice Dentistry
  • Snyder, TX
National Provider Identifier
1003472945
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF SNYDER PLLC
Practice address
5107 College Ave Ste B
Snyder, TX 79549-6275
Phone
(325) 574-1512
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Vishal Kulkarni
Title
Owner
Phone
(484) 860-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5107 College Ave Ste B
Snyder, TX 79549-6275

Mailing address

5107 College Ave Ste B
Snyder, TX 79549-6275

Other identifiers 1

IdentifierTypeStateIssuer
31955OtherTXDENTAL LICENCE

Other names 1

  • Snyder Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

5107 College Ave
Ste B
Snyder, TX 79549
Phone (325) 574-1512

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1003472945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 COLLEGE AVE STE B",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 COLLEGE AVE STE B",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496275",
            "telephone_number": "325-574-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF SNYDER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-860-5551",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "31955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snyder Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snyder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.