NPIMap

Organization Active NPI

Smiletrends

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1134521214
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24070 Issued in TX
Legal business name
SMILETRENDS
Practice address
24718 Ellesmere
San Antonio, TX 78257
Phone
(210) 305-2533
Fax
(210) 971-9080
NPI assigned
Sep 21, 2014
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Mr. Ravikumar R Anthony, BDSNPI 1295991271
Title
Owner
Phone
(484) 574-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 24070 TX Primary

Addresses

Primary practice location

24718 Ellesmere
San Antonio, TX 78257

Mailing address

24718 Ellesmere
San Antonio, TX 78257
Phone (210) 305-2533

Other names 1

  • Anthony & Chu Enterprises, PLLC Former legal business name

National Provider Directory

National Provider Directory

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": "1411257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1134521214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24718 ELLESMERE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-305-2533",
            "fax_number": "210-971-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24718 ELLESMERE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-305-2533",
            "fax_number": "210-971-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILETRENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-21",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-574-5031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthony & Chu Enterprises, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 17, 2018; 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.