Organization Active NPI

City Smiles Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1316393655
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CITY SMILES DENTAL
Practice address
14740 Barryknoll LN
Suite 160
Houston, TX 77079-2884
Phone
(281) 589-6100
Fax
(281) 752-0256
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Dr. Gustavo Salas, DDS MS
Title
Ceo
Phone
(281) 589-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

14740 Barryknoll LN
Suite 160
Houston, TX 77079-2884

Mailing address

14740 Barryknoll LN
Suite 160
Houston, TX 77079-2884
Phone (281) 589-6100

National Provider Directory

National Provider Directory

Locations

14740 Barryknoll Ln
Ste 160
Houston, TX 77079
Phone (281) 589-6100

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1316393655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792884",
            "telephone_number": "281-589-6100",
            "fax_number": "281-752-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792884",
            "telephone_number": "281-589-6100",
            "fax_number": "281-752-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-589-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.