NPIMap

Organization Active NPI

Wonder Smiles PLLC

  • Dentist
  • Beeville, TX
National Provider Identifier
1083025126
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WONDER SMILES PLLC
Practice address
414 E FM 351
Beeville, TX 78102-2212
Phone
(361) 354-5888
NPI assigned
May 12, 2014
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Tejsh Patel, DMD
Title
Director
Phone
(361) 354-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

414 E FM 351
Beeville, TX 78102-2212

Mailing address

414 E FM 351
Beeville, TX 78102-2212
Phone (361) 354-5888

National Provider Directory

National Provider Directory

Locations

414 E FM 351
Beeville, TX 78102
Phone (361) 354-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1083025126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E FM 351",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781022212",
            "telephone_number": "361-354-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E FM 351",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781022212",
            "telephone_number": "361-354-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJSH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-354-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.