Made Ya Smile Friendswood PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MADE YA SMILE FRIENDSWOOD PLLC

Practice address

1520 S Friendswood Dr
Ste. 104
Friendswood, TX 77546-4833

Phone

(281) 265-1111

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Michael Kesner, DDS

Title

Ceo

Phone

(281) 265-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1124461553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S FRIENDSWOOD DR",
            "address_2": "STE. 104",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464833",
            "telephone_number": "281-265-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S FRIENDSWOOD DR",
            "address_2": "STE. 104",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464833",
            "telephone_number": "281-265-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE YA SMILE FRIENDSWOOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "KESNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-265-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.