NPIMap

Organization Active NPI

Smile Kings Dental & Orthodontics, PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1245599158
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27221 Issued in TX
Legal business name
SMILE KINGS DENTAL & ORTHODONTICS, PLLC
Practice address
210 S. Zarzamora
San Antonio, TX 78207
Phone
(210) 236-9220
Fax
(210) 257-0399
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Dr. Peter Zakhary, DDSNPI 1730312836
Title
Owner/Dentist
Phone
(210) 236-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27221 TX Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27312 TX

Addresses

Primary practice location

210 S. Zarzamora
San Antonio, TX 78207

Mailing address

210 S. Zarzamora
San Antonio, TX 78207
Phone (210) 236-9220

Other identifiers 1

IdentifierTypeStateIssuer
295895101MedicaidTX

National Provider Directory

National Provider Directory

Locations

210 S Zarzamora St
San Antonio, TX 78207
Phone (210) 236-9220

Practitioners & affiliated clinicians

Practitioners 3

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1245599158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. ZARZAMORA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "210-236-9220",
            "fax_number": "210-257-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. ZARZAMORA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "210-236-9220",
            "fax_number": "210-257-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE KINGS DENTAL & ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "ZAKHARY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-236-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27221",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295895101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.