NPIMap

Organization Active NPI

Smile Heroes, PLLC

Doing business as Smile Heroes Dental & Orthodontics

  • Dentist
  • El Paso, TX
National Provider Identifier
1194152140
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27345 Issued in TX
Legal business name
SMILE HEROES, PLLC
Doing business as
Smile Heroes Dental & Orthodontics
Practice address
700 N Zaragoza Rd
Suite T
El Paso, TX 79907-4703
Phone
(415) 683-0963
NPI assigned
Oct 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Christine Phan, DDS
Title
President
Phone
(915) 493-2699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27345 TX Primary

Addresses

Primary practice location

700 N Zaragoza Rd
Suite T
El Paso, TX 79907-4703

Mailing address

700 N Zaragoza Rd
Suite T
El Paso, TX 79907-4703
Phone (915) 493-2699

Other names 1

  • Smile Heroes Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

700 N Zaragoza Rd
Ste T
El Paso, TX 79907
Phone (415) 683-0963

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": "1381017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1194152140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N ZARAGOZA RD",
            "address_2": "SUITE T",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074703",
            "telephone_number": "915-493-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ZARAGOZA RD",
            "address_2": "SUITE T",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074703",
            "telephone_number": "415-683-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE HEROES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-06",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-493-2699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Heroes Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 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.