Katy Gentle Smiles, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24934 Issued in TX

Legal business name

KATY GENTLE SMILES, PLLC

Practice address

5011 Highway 6 Ste 101
Missouri City, TX 77459-4899

Phone

(281) 206-4444

Fax

(281) 205-4301

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Manoj Mathew

Title

Owner

Phone

(281) 878-9800

Specialties & licenses 1

Addresses

Other names 1

• designer smile dentistry Doing business as

Locations

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1184096356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 HIGHWAY 6 STE 101",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594899",
            "telephone_number": "281-206-4444",
            "fax_number": "281-205-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 HIGHWAY 6 STE 101",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594899",
            "telephone_number": "281-206-4444",
            "fax_number": "281-205-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY GENTLE SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-878-9800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "designer smile dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.