Organization Active NPI

Savvy Dental PLLC

Doing business as El Campo Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Campo, TX
National Provider Identifier
1265904171
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SAVVY DENTAL PLLC
Doing business as
El Campo Braces
Practice address
1005 N Mechanic St
El Campo, TX 77437-3027
Phone
(979) 543-2411
NPI assigned
Dec 18, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Shaun Willis, DMD
Title
Owner
Phone
(979) 543-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1005 N Mechanic St
El Campo, TX 77437-3027

Mailing address

1005 N Mechanic St
El Campo, TX 77437-3027
Phone (979) 543-2411

Other identifiers 1

IdentifierTypeStateIssuer
27076OtherTXTEXAS BOARD OF DENTAL EXAMINERS

Other names 1

  • El Campo Braces Doing business as

National Provider Directory

National Provider Directory

Locations

1005 N Mechanic St
El Campo, TX 77437
Phone (979) 543-2411

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1265904171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774373027",
            "telephone_number": "979-543-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774373027",
            "telephone_number": "979-543-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVVY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-543-2411",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF DENTAL EXAMINERS",
            "identifier": "27076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Campo Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Campo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.