NPIMap

Organization Active NPI

Fiesta Smiles PLLC

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1457711764
Registry record updated Feb 29, 2016
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24365 Issued in TX
Legal business name
FIESTA SMILES PLLC
Practice address
1301 FM 2218
500-B
Richmond, TX 77469
Phone
(682) 234-4603
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Gaurav Puri
Title
Owner Dentist
Phone
(682) 234-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24365 TX Primary

Addresses

Primary practice location

1301 FM 2218
500-B
Richmond, TX 77469

Mailing address

1301 FM 2218
500-B
Richmond, TX 77469
Phone (682) 234-4603

National Provider Directory

National Provider Directory

Locations

1301 FM 2218 Rd
Ste 500B
Richmond, TX 77469
Phone (682) 234-4603

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1457711764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FM 2218",
            "address_2": "500-B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "682-234-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FM 2218",
            "address_2": "500-B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "682-234-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "682-234-4603"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.