Organization Active NPI

Smiley Dental Northline PLLC

Doing business as Smiley Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1336457464
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19887 Issued in TX
Legal business name
SMILEY DENTAL NORTHLINE PLLC
Doing business as
Smiley Dental
Practice address
4400 North Fwy
SPC D500
Houston, TX 77022-3604
Phone
(214) 718-7880
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Lynh Pham, DDS
Title
Owner
Phone
(214) 718-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19887 TX Primary

Addresses

Primary practice location

4400 North Fwy
SPC D500
Houston, TX 77022-3604

Mailing address

PO Box 453247
Garland, TX 75045-3247
Phone (214) 718-7880

Other names 1

  • SMILEY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

4400 North Fwy
Spc D500
Houston, TX 77022
Phone (281) 661-6591

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1336457464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453247",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453247",
            "telephone_number": "214-718-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NORTH FWY",
            "address_2": "SPC D500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223604",
            "telephone_number": "214-718-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL NORTHLINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-718-7880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2010; 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.