Organization Active NPI

Radiant Smiles Dental

  • Point of Service
  • Houston, TX
National Provider Identifier
1013275783
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
25737 Issued in TX
Legal business name
RADIANT SMILES DENTAL
Practice address
10701 W Bellfort St
Suite 194
Houston, TX 77099-4748
Phone
(281) 530-2676
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Akudo L Ekwem
Title
Owner
Phone
(281) 530-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 25737 TX Primary

Addresses

Primary practice location

10701 W Bellfort St
Suite 194
Houston, TX 77099-4748

Mailing address

10701 W Bellfort St
Suite 194
Houston, TX 77099-4748
Phone (281) 530-2676

National Provider Directory

National Provider Directory

Locations

10701 W Bellfort Ave
Ste 194
Houston, TX 77099
Phone (281) 530-2676

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1013275783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W BELLFORT ST",
            "address_2": "SUITE 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994748",
            "telephone_number": "281-530-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W BELLFORT ST",
            "address_2": "SUITE 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994748",
            "telephone_number": "281-530-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "EKWEM",
        "authorized_official_first_name": "AKUDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-530-2676",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "25737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.