Organization Active NPI

Signature Smiles Humble PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1043768443
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23354 Issued in TX
Legal business name
SIGNATURE SMILES HUMBLE PLLC
Practice address
14315 E. Sam Houston Parkway
Suite 100
Houston, TX 77044
Phone
(713) 802-0011
Fax
(713) 422-2457
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Terry Lee
Title
Owner
Phone
(713) 802-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23354 TX Primary

Addresses

Primary practice location

14315 E. Sam Houston Parkway
Suite 100
Houston, TX 77044

Mailing address

3800 N. Shepherd Dr.
Houston, TX 77018
Phone (713) 802-0011

Other names 1

  • Signature Smiles Humble Doing business as

National Provider Directory

National Provider Directory

Locations

14315 E Sam Houston Pkwy N
Ste 100
Houston, TX 77044
Phone (713) 802-0011

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1043768443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N. SHEPHERD DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "713-802-0011",
            "fax_number": "713-422-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 E. SAM HOUSTON PARKWAY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77044",
            "telephone_number": "713-802-0011",
            "fax_number": "713-422-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES HUMBLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-802-0011"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smiles Humble",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 14, 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.

Verify at the official NPI Registry.