Canyon Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANYON SMILES PLLC

Practice address

310 S Allen Ave
Monahans, TX 79756-4304

Phone

(509) 499-2322

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shweta Annaldasula

Title

Owner

Phone

(682) 473-0969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1134052806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S ALLEN AVE",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ALLEN AVE",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564304",
            "telephone_number": "509-499-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "ANNALDASULA",
        "authorized_official_first_name": "SHWETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-473-0969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B & T Managed Care LLC (Monahans Managed Care Center)
• B & T Management Company LLC (Visiting Angels of the Permian Basin)
• Maricela Bazan
• Dee A Bean, PA-C
• Heidi Leigh Branham
• Mario Carrasco Jr.
• Gabriella M Carrillo
• Frances Carter, LVN
• Jorge David Castro Alvirena, MD
• Subramanyeswaraswamy Chinni, DDS

• General Practice Dentistry in Monahans, TX
• Providers in Monahans, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.