Organization Active NPI

KC Smiles Dental Management, LLC

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1467958488
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KC SMILES DENTAL MANAGEMENT, LLC
Practice address
7700 Highway 6 N Ste 106
Houston, TX 77095-2672
Phone
(832) 867-0379
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Andy KouNPI 1700196474
Title
Dentist
Phone
(832) 867-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7700 Highway 6 N Ste 106
Houston, TX 77095-2672

Mailing address

7503 Brighton Knolls LN
Richmond, TX 77407-1598
Phone (832) 867-0379

Other names 1

  • KC smiles dental management, llc Doing business as

National Provider Directory

National Provider Directory

Locations

7700 Highway 6 N
Ste 106
Houston, TX 77095
Phone (281) 550-5757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1467958488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 BRIGHTON KNOLLS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071598",
            "telephone_number": "832-867-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 6 N STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952672",
            "telephone_number": "832-867-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC SMILES DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "KOU",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-867-0379"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC smiles dental management, llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KC smiles dental management, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.