Organization Active NPI

Made Ya Smile Katy PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1336583657
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADE YA SMILE KATY PLLC
Practice address
6645 South Fry Road
Ste 1000
Katy, TX 77494
Phone
(281) 265-1111
NPI assigned
Apr 18, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Michael Kesner, DDSNPI 1881615169
Title
Ceo
Phone
(281) 265-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6645 South Fry Road
Ste 1000
Katy, TX 77494

Mailing address

6645 South Fry Road
Ste 1000
Katy, TX 77494
Phone (281) 265-1111

National Provider Directory

National Provider Directory

Locations

6645 S Fry Rd
Ste 1000
Katy, TX 77494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1336583657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 SOUTH FRY ROAD",
            "address_2": "STE 1000",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-265-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 SOUTH FRY ROAD",
            "address_2": "STE 1000",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-265-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE YA SMILE KATY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "KESNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-265-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.