Organization Active NPI

Smith and Smith Dental PLLC

  • Dentist
  • Mission, TX
National Provider Identifier
1063944213
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13031 Issued in TX
Legal business name
SMITH AND SMITH DENTAL PLLC
Practice address
308 S Bryan Rd
Mission, TX 78572-6222
Phone
(956) 585-2767
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Andrew Henry Smith III, DDS
Title
Partner
Phone
(956) 580-4998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13031 TX Primary

Addresses

Primary practice location

308 S Bryan Rd
Mission, TX 78572-6222

Mailing address

2408 Sendero Ave
Mission, TX 78573-8451
Phone (956) 580-4998

Other names 1

  • Smith Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1063944213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SENDERO AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785738451",
            "telephone_number": "956-580-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726222",
            "telephone_number": "956-585-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND SMITH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "956-580-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "13031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.