NPIMap

Organization Active NPI

Ur Smile Dental of Clute PLLC

  • Dental Clinic/Center
  • Clute, TX
National Provider Identifier
1114590619
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UR SMILE DENTAL OF CLUTE PLLC
Practice address
105 Dixie Dr Ste a
Clute, TX 77531-5105
Phone
(713) 679-8986
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Hanuman Gade, DDSNPI 1750669594
Title
Owner Dentist
Phone
(713) 679-8986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

105 Dixie Dr Ste a
Clute, TX 77531-5105

Mailing address

19875 Southwest Fwy Ste 120
Sugar Land, TX 77479-6721

National Provider Directory

National Provider Directory

Locations

105 Dixie Dr
Ste A
Clute, TX 77531
Phone (713) 679-8986

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1114590619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DIXIE DR STE A",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315105",
            "telephone_number": "713-679-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR SMILE DENTAL OF CLUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "HANUMAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "713-679-8986",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clute, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.