Organization Active NPI

Simply Smile Dental Studio PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1053175208
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SIMPLY SMILE DENTAL STUDIO PLLC
Practice address
2300 S Mason Rd
Ste 104
Katy, TX 77450
Phone
(281) 394-0999
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Anh Tuan Pham, DDSNPI 1871040824
Title
Owner/President
Phone
(281) 394-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2300 S Mason Rd
Ste 104
Katy, TX 77450

Mailing address

2300 S Mason Rd Ste 104
Katy, TX 77450-6268
Phone (281) 394-0999

Other names 1

  • Simply Smile Dental Studio Doing business as

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": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1053175208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506268",
            "telephone_number": "281-394-0999",
            "fax_number": "281-394-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD",
            "address_2": "STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-394-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SMILE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-394-0999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Smile Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.