NPIMap

Organization Active NPI

United Orthodontics of Las Cruces PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1285070227
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
23677 Issued in TX
Legal business name
UNITED ORTHODONTICS OF LAS CRUCES PLLC
Doing business as
SmileLife Orthodontics
Practice address
17503 La Cantera Pkwy
Ste104-496
San Antonio, TX 78257-8207
Phone
(210) 561-2400
Fax
(210) 561-2400
NPI assigned
May 17, 2013
Organization subpart
Yes
Parent organization
UNITED ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Ashley Smith, D.D.S.
Title
Owner/Provider
Phone
(361) 442-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 23677 TX Primary

Addresses

Primary practice location

17503 La Cantera Pkwy
Ste104-496
San Antonio, TX 78257-8207

Mailing address

920 N Telshor Blvd
Ste E
Las Cruces, NM 88011-8277
Phone (575) 521-0900

Other names 1

  • SmileLife Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
United Orthodontics PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1285070227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N TELSHOR BLVD",
            "address_2": "STE E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118277",
            "telephone_number": "575-521-0900",
            "fax_number": "575-522-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "STE104-496",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-561-2400",
            "fax_number": "210-561-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ORTHODONTICS OF LAS CRUCES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED ORTHODONTICS PC",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "361-442-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileLife Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 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.