Organization Active NPI

Made Ya Smile Pearland PLLC

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1356784789
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADE YA SMILE PEARLAND PLLC
Practice address
11021 Shadow Creek Pkwy
Ste. 108
Pearland, TX 77584-7401
Phone
(281) 265-1111
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

11021 Shadow Creek Pkwy
Ste. 108
Pearland, TX 77584-7401

Mailing address

11021 Shadow Creek Pkwy
Ste. 108
Pearland, TX 77584-7401
Phone (281) 265-1111

National Provider Directory

National Provider Directory

Locations

11021 Shadow Creek Pkwy
#108
Pearland, TX 77584
Phone (281) 241-1411

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1356784789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 SHADOW CREEK PKWY",
            "address_2": "STE. 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847401",
            "telephone_number": "281-265-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 SHADOW CREEK PKWY",
            "address_2": "STE. 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847401",
            "telephone_number": "281-265-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE YA SMILE PEARLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.