Active NPI
Smiles LLC
- General Practice Dentistry
- Magnolia, TX
National Provider Identifier
1053689547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17133
- Legal business name
- SMILES LLC
- Practice address
- 5403 FM 1488 Rd Ste 7
Magnolia, TX 77354-2524 - Phone
- (281) 259-6717
- Fax
- (281) 259-2803
- NPI assigned
- Dec 12, 2011
- 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
- Mrs. Opal Ellen Leleux
- Title
- Office Manager
- Phone
- (281) 259-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17133 | TX | Primary |
Addresses
Primary practice location
5403 FM 1488 Rd Ste 7
Magnolia, TX 77354-2524
Mailing address
5403 FM 1488 Rd Ste 7
Magnolia, TX 77354-2524
Phone (281) 259-6717
National Provider Directory
National Provider DirectoryLocations
5403 FM 1488 Rd
Ste 7
Magnolia, TX 77354
Phone (281) 252-6882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1053689547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5403 FM 1488 RD STE 7",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773542524",
"telephone_number": "281-259-6717",
"fax_number": "281-259-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5403 FM 1488 RD STE 7",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773542524",
"telephone_number": "281-259-6717",
"fax_number": "281-259-2803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "LELEUX",
"authorized_official_first_name": "OPAL",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "281-259-6717",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.