Enchanted Smiles

Primary specialty

DentistTaxonomy code 122300000X

License

21732 Issued in TX

Legal business name

ENCHANTED SMILES

Practice address

7031 FM 1960 Rd W
Ste F
Humble, TX 77338-3429

Phone

(281) 540-7724

Fax

(281) 540-7728

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Susan G Durgapersad, D.D.S.

Title

Dentist

Phone

(281) 540-7724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1306110747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 FM 1960 RD W",
            "address_2": "STE F",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383429",
            "telephone_number": "281-540-7724",
            "fax_number": "281-540-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 FM 1960 RD W",
            "address_2": "STE F",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383429",
            "telephone_number": "281-540-7724",
            "fax_number": "281-540-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "DURGAPERSAD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-540-7724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Humble, TX
• Providers in Humble, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.