NPIMap

Organization Active NPI

Smilecrafters PA

  • Dentist
  • Spring, TX
National Provider Identifier
1366406100
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19474 Issued in TX
Legal business name
SMILECRAFTERS PA
Practice address
18425 Champion Forest Drive
Suite 220
Spring, TX 77379
Phone
(281) 320-8709
Fax
(281) 251-9226
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Khanh Quoc Tran, DDSNPI 1144664871
Title
President
Phone
(281) 320-8709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19474 TX Primary

Addresses

Primary practice location

18425 Champion Forest Drive
Suite 220
Spring, TX 77379

Mailing address

18425 Champion Forest Drive
Suite 220
Spring, TX 77379
Phone (281) 320-8709

National Provider Directory

National Provider Directory

Locations

18425 Champion Forest Dr
Ste 220
Spring, TX 77379
Phone (281) 320-8709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1366406100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 CHAMPION FOREST DRIVE",
            "address_2": "SUITE 220",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-320-8709",
            "fax_number": "281-251-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 CHAMPION FOREST DRIVE",
            "address_2": "SUITE 220",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-320-8709",
            "fax_number": "281-251-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILECRAFTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-320-8709",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.