Organization Active NPI

Sugarland Smile Center PLLC

  • Dental Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1396365177
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUGARLAND SMILE CENTER PLLC
Practice address
17101 W Grand Pkwy S
Sugar Land, TX 77479-4984
Phone
(832) 202-9153
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Dr. Ashok K Kota, DDS
Title
Ceo
Phone
(832) 202-9153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17101 W Grand Pkwy S
Sugar Land, TX 77479-4984

Mailing address

3811 Pearl Lake LN
Sugar Land, TX 77479-4883
Phone (832) 202-9153

National Provider Directory

National Provider Directory

Locations

17101 W Grand Pkwy S
Ste 66
Sugar Land, TX 77479
Phone (346) 843-1504

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1396365177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PEARL LAKE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794883",
            "telephone_number": "832-202-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794984",
            "telephone_number": "832-202-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLAND SMILE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "KOTA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-202-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.