Prosper Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27680 Issued in TX

Legal business name

PROSPER SMILES PLLC

Practice address

821 N Coleman St
Suite 120
Prosper, TX 75078-2303

Phone

(972) 347-9617

NPI assigned

May 18, 2015

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vimal PatelNPI 1548571409

Title

Managing Member/President

Phone

(402) 650-7405

Specialties & licenses 2

Addresses

Locations

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.

• Vimal A Patel, DDS

  • Dentist
  • Prosper, TX
  • NPI 1548571409
  NPD (past) Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1366821795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST",
            "address_2": "SUITE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST",
            "address_2": "SUITE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782303",
            "telephone_number": "972-347-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_title_or_position": "MANAGING MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "402-650-7405"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27680",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosper Pediatrics PLLC
• Prosper Pharmacy LLC (Prosper Pharmacy)
• Prosper Primary Care and Wellness PC (Prosper Health Primary, Urgent & Wellness)
• Prosper Primary Care and Wellness PC (Prosper Health Primary, Urgent & Wellness)
• Prosper Smile Studio PLLC (Prosper Smile Studio)
• Prosper Star Dental Company PLLC
• Prosper Vision Associates, PLLC
• Prosper Vision PLLC (Eye Gallery)
• Prosperity Place - Where All Things Are Possible
• Prosperous Therapy, P.C

• General Practice Dentistry in Prosper, TX
• Providers in Prosper, TX by specialty
• General Practice Dentistry in Texas

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