Organization Active NPI

King Smiles II, P.a.

  • General Practice Dentistry
  • Lakeway, TX
National Provider Identifier
1063690378
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KING SMILES II, P.A.
Practice address
208 Sendera Bonita
Lakeway, TX 78734-3951
Phone
(512) 507-8468
Fax
(512) 832-8454
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Julian Foncell Powers
Title
Insurance Coord.
Phone
(512) 832-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

208 Sendera Bonita
Lakeway, TX 78734-3951

Mailing address

208 Sendera Bonita
Lakeway, TX 78734-3951
Phone (512) 507-8468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1063690378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SENDERA BONITA",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343951",
            "telephone_number": "512-507-8468",
            "fax_number": "512-832-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SENDERA BONITA",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343951",
            "telephone_number": "512-507-8468",
            "fax_number": "512-832-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING SMILES II, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "FONCELL",
        "authorized_official_title_or_position": "INSURANCE COORD.",
        "authorized_official_telephone_number": "512-832-8448"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.