Organization Active NPI

Smiles LLC

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1053689547
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17133 Issued in TX
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

Updated by the provider on Dec 12, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.