Real Smiles, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

REAL SMILES, LLC

Practice address

604 E Bailey Boswell Rd Ste 150
Saginaw, TX 76131-3574

Phone

(817) 847-9901

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Raul Lucero

Title

Managing Member

Phone

(817) 847-9901

Specialties & licenses 1

Addresses

Other names 1

• Now Orthodontics Doing business as

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1396360707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E BAILEY BOSWELL RD STE 150",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313574",
            "telephone_number": "817-847-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E BAILEY BOSWELL RD STE 150",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313574",
            "telephone_number": "817-847-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-847-9901"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Now Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martyna Ponce
• Courtney Diane Prince, DC
• Richard L Puckett, D.C.
• Edwin Carlos Ramos, CSFA
• Heather Reagin, DO
• Ronald Richard Redden, ATC, LAT
• Jason Todd Redler, D.C.
• Renkuntla PLLC
• Rupeshwar Ishwar Renkuntla
• Desiree Kathryn Richards, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.