Organization Active NPI

Smile Structure, PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1083932180
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22951 Issued in TX
Legal business name
SMILE STRUCTURE, PLLC
Practice address
6035 NW Loop 410
Ste 107
San Antonio, TX 78238-3301
Phone
(210) 546-1337
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Andrew Thomas Scraver, DDS
Title
Owner
Phone
(210) 546-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22951 TX Primary

Addresses

Primary practice location

6035 NW Loop 410
Ste 107
San Antonio, TX 78238-3301

Mailing address

6035 NW Loop 410
Ste 107
San Antonio, TX 78238-3301
Phone (210) 546-1337

National Provider Directory

National Provider Directory

Locations

6035 NW Loop 410
#107
San Antonio, TX 78238
Phone (210) 546-1337

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1083932180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301",
            "telephone_number": "210-546-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301",
            "telephone_number": "210-546-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STRUCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "SCRAVER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-546-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.