Port Lavaca Smiles PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

25968 Issued in TX

Legal business name

PORT LAVACA SMILES PLLC

Practice address

233 Calhoun PLZ
Port Lavaca, TX 77979-2422

Phone

(409) 548-0685

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Geetika Rastogi

Title

Owner

Phone

(832) 369-6941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1407267487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323418",
            "telephone_number": "832-369-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CALHOUN PLZ",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792422",
            "telephone_number": "409-548-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT LAVACA SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-369-6941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Suzanne Odonnell, FNP
• Frank M Parker IV, ATC, LAT
• Port Lavaca Anesthesia Group LLC
• Port Lavaca Clinic Associates PA
• Port Lavaca Dentistry PLLC
• Priscilla Stephens
• Radiology Unlimited, PA
• Raymond P Dickey
• Regency Nursing Center Partners of Port Lavaca, LTD
• Christina Rioux

• Dentist in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.