Smile Embassy, PLLC.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

21771 Issued in TX

Legal business name

SMILE EMBASSY, PLLC.

Practice address

517 Sunset Ave
Dallas, TX 75208-4702

Phone

(214) 943-2400

Fax

(214) 943-2363

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eliud Villarreal

Title

Doctor

Phone

(214) 943-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1275998312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SUNSET AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084702",
            "telephone_number": "214-943-2400",
            "fax_number": "214-943-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SUNSET AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084702",
            "telephone_number": "214-943-2400",
            "fax_number": "214-943-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE EMBASSY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ELIUD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-943-2400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "21771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166045805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Smerud, MD
• SMG Supplies LLC
• Smile & Aesthetics 360 Dental & Medspa
• Smile Builders Dental Center PC
• Smile Care, PLLC
• Smile Metroplex Family Dentistry Cockrell Hill PLLC
• Smile Metroplex Family Dentistry Masters PLLC
• Smile Texas Outreach, PC
• Smile Texas, LLC
• Smile Workshop Timber Creek, PLLC

• Exclusive Provider Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.