Brazos Valley Smile Restorations

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D22623 Issued in TX

Legal business name

BRAZOS VALLEY SMILE RESTORATIONS

Practice address

1615 Barak LN
Ste 5
Bryan, TX 77802-3315

Phone

(979) 846-1121

Fax

(979) 846-5771

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Jouett, D.D.S.NPI 1528127719

Title

President

Phone

(979) 846-1121

Specialties & licenses 1

Addresses

Other names 1

• Smile Restorations Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Michael Jouett, D.D.S.

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1528127719
  NPD (past) Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1457724353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BARAK LN",
            "address_2": "STE 5",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023315",
            "telephone_number": "979-846-1121",
            "fax_number": "979-846-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BARAK LN",
            "address_2": "STE 5",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023315",
            "telephone_number": "979-846-1121",
            "fax_number": "979-846-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY SMILE RESTORATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "JOUETT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-846-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D22623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Restorations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brazos Valley Physicians Alliance
• Brazos Valley Physicians Organization,Mso-LLC
• Brazos Valley Physicians Organization,Mso-LLC
• Brazos Valley Psychological Services PA
• Brazos Valley Rehabilitation Center Inc
• Brazos Valley Urology Associates
• Brazos Vascular Access Center, PLLC
• Emily Ann Brewer, PHD, LP, LSSP
• Kira Brewington
• Brian Barras, DDS, Ms, PLLC

• General Practice Dentistry in Bryan, TX
• Providers in Bryan, 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 Nov 2, 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.