Active NPI
Full Smile Dental New Braunfels Braces, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- FULL SMILE DENTAL NEW BRAUNFELS BRACES, PLLC
- Practice address
- 837 Landa St
New Braunfels, TX 78130-6115 - Phone
- (830) 642-1323
- NPI assigned
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Graves, DMD
- Title
- Owner
- Phone
- (806) 353-1055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
837 Landa St
New Braunfels, TX 78130-6115
Mailing address
11330 Potranco Rd
San Antonio, TX 78253-7281
Phone (210) 610-0117
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@fullsmiledental.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
837 Landa St
New Braunfels, TX 78130
Phone (830) 620-7111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1205548526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 POTRANCO RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782537281",
"telephone_number": "210-610-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 LANDA ST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306115",
"telephone_number": "830-642-1323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL SMILE DENTAL NEW BRAUNFELS BRACES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-353-1055",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@fullsmiledental.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "837 Landa St",
"city": "New Braunfels",
"state": "TX",
"country_code": "US",
"postal_code": "781306115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.