Katy Smile Design, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16804 Issued in TX

Legal business name

KATY SMILE DESIGN, PLLC

Practice address

24207 Kingsland Boulevard
Katy, TX 77494

Phone

(281) 396-4366

Fax

(281) 396-4367

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Lauren Shepard, D.D.S

Title

Owner/Dentist

Phone

(281) 396-4366

Specialties & licenses 2

Addresses

Other names 1

• Katy Smile Design Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Renee Wilder, D.D.S.

  • General Practice Dentistry
  • Katy, TX
  • NPI 1922362748
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1144585688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24207 KINGSLAND BOULEVARD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-396-4366",
            "fax_number": "281-396-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24207 KINGSLAND BOULEVARD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-396-4366",
            "fax_number": "281-396-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY SMILE DESIGN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-396-4366",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24019",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katy Pulmonary Associates, PA
• Katy Rehabilitation Partners LP
• Katy Rheumatology & Associates, PA
• Katy RX, Inc.
• Katy Sleep Center LLC
• Katy Speech and Language
• Katy St. Catherine Surgery Center, LP
• Katy Supportive Medicine, P.a.
• Katy Surgical Assist Services, LLC
• Katy Surgical Assistants Inc

• General Practice Dentistry in Katy, TX
• Providers in Katy, 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 Nov 20, 2012; 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.