Organization Active NPI

Smile Workshop New Braunfels, PLLC

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1215475272
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21936 Issued in TX
Legal business name
SMILE WORKSHOP NEW BRAUNFELS, PLLC
Practice address
1862 W State Highway 46
Suite #101
New Braunfels, TX 78132-5282
Phone
(830) 308-5567
Fax
(830) 308-5568
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Sulman Ahmed, DMD
Title
Owner
Phone
(972) 331-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21936 TX Primary

Addresses

Primary practice location

1862 W State Highway 46
Suite #101
New Braunfels, TX 78132-5282

Mailing address

PO Box 840925
Dallas, TX 75284-0925
Phone (214) 757-4500

Other names 1

  • Ideal Dental Oak Run New Braunfels Doing business as

National Provider Directory

National Provider Directory

Locations

1862 State Highway 46 W
Ste 101
New Braunfels, TX 78132
Phone (830) 308-5567

Practitioners & affiliated clinicians

Practitioners 4

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1215475272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "214-757-4500",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 W STATE HIGHWAY 46",
            "address_2": "SUITE #101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325282",
            "telephone_number": "830-308-5567",
            "fax_number": "830-308-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKSHOP NEW BRAUNFELS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Oak Run New Braunfels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2023; 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.