Organization Active NPI

Smile in Style PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar Park, TX
National Provider Identifier
1043984834
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Aug 4, 2021

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
14226408OtherTXCAQH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.