Organization Active NPI

Smile Team Dentistry, P.L.L.C.

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1093015919
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25545 Issued in TX
Legal business name
SMILE TEAM DENTISTRY, P.L.L.C.
Practice address
2802 S Staples St Ste B
Corpus Christi, TX 78404-3617
Phone
(361) 852-3600
Fax
(361) 852-3605
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Clarissa Esparza, D.D.S.
Title
Dentist
Phone
(361) 852-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25545 TX Primary

Addresses

Primary practice location

2802 S Staples St Ste B
Corpus Christi, TX 78404-3617

Mailing address

2802 S Staples St Ste B
Corpus Christi, TX 78404-3617
Phone (361) 852-3600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1093015919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 S STAPLES ST STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043617",
            "telephone_number": "361-852-3600",
            "fax_number": "361-852-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 S STAPLES ST STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043617",
            "telephone_number": "361-852-3600",
            "fax_number": "361-852-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TEAM DENTISTRY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-852-3600",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.