VS - la Porte, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VS - LA PORTE, PLLC

Doing business as

Victory Smiles La Porte

Practice address

400 W Fairmont Pkwy
La Porte, TX 77571-6308

Phone

(832) 460-5657

Fax

(346) 998-1223

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Le

Title

Office Manager

Phone

(832) 460-5657

Specialties & licenses 2

Addresses

Other names 1

• Victory Smiles La Porte Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1053883603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FAIRMONT PKWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716308",
            "telephone_number": "832-460-5657",
            "fax_number": "346-998-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FAIRMONT PKWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716308",
            "telephone_number": "832-460-5657",
            "fax_number": "346-998-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VS - LA PORTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-460-5657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Smiles La Porte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in La Porte, TX
• Providers in La Porte, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.