Organization Active NPI

Smile Rehab Centers

  • Prosthodontics
  • Southlake, TX
National Provider Identifier
1154043867
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
SMILE REHAB CENTERS
Practice address
245 W State Highway 114 Ste 130
Southlake, TX 76092-3637
Phone
(737) 747-2221
Fax
(737) 273-8762
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Hanife Canan Bayraktaroglu, DDSNPI 1245596279
Title
Owner
Phone
(737) 747-2221

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

245 W State Highway 114 Ste 130
Southlake, TX 76092-3637

Mailing address

245 W State Highway 114 Ste 130
Southlake, TX 76092-3637
Phone (737) 747-2221

Other names 1

  • Smile Rehab Centers Doing business as

National Provider Directory

National Provider Directory

Locations

245 W State Highway 114
Ste 130
Southlake, TX 76092
Phone (469) 831-4695

Practitioners & affiliated clinicians

Practitioners 1

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": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1154043867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923637",
            "telephone_number": "737-747-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923637",
            "telephone_number": "737-747-2221",
            "fax_number": "737-273-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE REHAB CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BAYRAKTAROGLU",
        "authorized_official_first_name": "HANIFE",
        "authorized_official_middle_name": "CANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-747-2221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Rehab Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.