Active NPI
Smile in Style PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cedar Park, TX
National Provider Identifier
1043984834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SMILE IN STYLE PLLC
- Practice address
- 2515 S Lakeline Blvd
Cedar Park, TX 78613-2963 - Phone
- (512) 666-9192
- NPI assigned
- Aug 4, 2021
- 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
- Dr. Azadeh Eslami, DDS MS MS
- Title
- Orthodontist and Periodontist
- Phone
- (810) 333-3930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2515 S Lakeline Blvd
Cedar Park, TX 78613-2963
Mailing address
2515 S Lakeline Blvd
Cedar Park, TX 78613-2963
Phone (512) 666-9192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14226408 | Other | TX | CAQH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Louis, MO
- NPI 1164860490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1043984834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 S LAKELINE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132963",
"telephone_number": "512-666-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 S LAKELINE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132963",
"telephone_number": "512-666-9192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE IN STYLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "ESLAMI",
"authorized_official_first_name": "AZADEH",
"authorized_official_title_or_position": "ORTHODONTIST AND PERIODONTIST",
"authorized_official_telephone_number": "810-333-3930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14226408",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.