NPIMap

Organization Active NPI

Supersmiles Dental Center

  • General Practice Dentistry
  • Buda, TX
National Provider Identifier
1215479043
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31040 Issued in TX
Legal business name
SUPERSMILES DENTAL CENTER
Practice address
15300 S Ih 35
#300
Buda, TX 78610-9703
Phone
(512) 523-8183
Fax
(512) 523-8629
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. Keyur K Bhagat, DDSNPI 1215303136
Title
General Dentist
Phone
(210) 577-0516

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31040 TX Primary

Addresses

Primary practice location

15300 S Ih 35
#300
Buda, TX 78610-9703

Mailing address

15300 S Ih 35
#300
Buda, TX 78610-9703
Phone (512) 523-8183

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1215479043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S IH 35",
            "address_2": "#300",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109703",
            "telephone_number": "512-523-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S IH 35",
            "address_2": "#300",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109703",
            "telephone_number": "512-523-8183",
            "fax_number": "512-523-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSMILES DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BHAGAT",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "210-577-0516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.