NPIMap

Organization Active NPI

Smile Center for Kids PLLC

  • Dentist
  • El Paso, TX
National Provider Identifier
1144661950
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
123456 Issued in TX
Legal business name
SMILE CENTER FOR KIDS PLLC
Practice address
12801 Edgemere Blvd # B
Ste 112
El Paso, TX 79938-9500
Phone
(915) 493-6310
Fax
(915) 493-6316
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Robert Gregory Wilson, DMDNPI 1649330291
Title
President
Phone
(915) 493-6310

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 123456 TX Primary

Addresses

Primary practice location

12801 Edgemere Blvd # B
Ste 112
El Paso, TX 79938-9500

Mailing address

12801 Edgemere Blvd # B
Ste 112
El Paso, TX 79938-9500
Phone (915) 493-6310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1144661950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 EDGEMERE BLVD # B",
            "address_2": "STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389500",
            "telephone_number": "915-493-6310",
            "fax_number": "915-493-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 EDGEMERE BLVD # B",
            "address_2": "STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389500",
            "telephone_number": "915-493-6310",
            "fax_number": "915-493-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER FOR KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-493-6310",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.