NPIMap

Organization Active NPI

Kitty Hawk Smiles Dentistry and Orthodontics, PC

Doing business as Kitty Hawk Smiles Dentistry and Orthodontics

  • General Practice Dentistry
  • Universal City, TX
National Provider Identifier
1245599539
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KITTY HAWK SMILES DENTISTRY AND ORTHODONTICS, PC
Doing business as
Kitty Hawk Smiles Dentistry and Orthodontics
Practice address
902 Kitty Hawk Rd
Suite 100
Universal City, TX 78148-3825
Phone
(210) 566-5599
Fax
(210) 566-4972
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
John S Barnes
Title
DDS- Owner
Phone
(210) 566-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

902 Kitty Hawk Rd
Suite 100
Universal City, TX 78148-3825

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Kitty Hawk Smiles Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

902 Kitty Hawk Rd
Ste 100
Universal City, TX 78148
Phone (210) 566-5599

Practitioners & affiliated clinicians

Practitioners 7

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1245599539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD",
            "address_2": "SUITE 100",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483825",
            "telephone_number": "210-566-5599",
            "fax_number": "210-566-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTY HAWK SMILES DENTISTRY AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS- OWNER",
        "authorized_official_telephone_number": "210-566-5599"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitty Hawk Smiles Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.