Successful Smiles of Texas

Primary specialty

DentistTaxonomy code 122300000X

License

31027 Issued in TX

Legal business name

SUCCESSFUL SMILES OF TEXAS

Practice address

3100 S Congress Ave # 1F
Austin, TX 78704-6427

Phone

(512) 270-9773

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Eric Neuer, DDS

Title

President

Phone

(512) 270-9773

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1336512854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 S IH 35 # 200-140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647360",
            "telephone_number": "512-270-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CONGRESS AVE # 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046427",
            "telephone_number": "512-270-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL SMILES OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "NEUER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-270-9773",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI: 1922026921",
            "identifier": "K01-25-5786",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meera Subash, M.D.
• Jennifer R. Sublett, LPC-SUPERVISOR
• Kittisak Subphachaisirikul, RPH
• Revathy Subramany, M.D
• Substance Abuse Intervention & Learning (Sail)
• Crystal Suchyta, LPC
• John G. Sudduth, LPC
• Jared Dewayne Sudekum
• Sarita Sudermann, RD
• Connie Suen, PHARMD

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

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