Smile Studio-Livingston PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE STUDIO-LIVINGSTON PLLC

Practice address

1772 W Church St
Livingston, TX 77351-9005

Phone

(936) 327-7550

Fax

(936) 327-7560

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Tee Semera

Title

Credentialing

Phone

(469) 556-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1477026086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519005",
            "telephone_number": "936-327-7550",
            "fax_number": "936-327-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO-LIVINGSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "469-556-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Carol Shipman, RD
• Michael Shukan, M.D.
• Christopher Michael Sifuentes, LMT
• Sleep Quest
• Smile Studio PLLC
• Charlene Smith, MD
• Crystal Lynn Smith, CNM
• Shana Smith
• Abigail Springfield, COTA
• Sr Health Care PA

• General Practice Dentistry in Livingston, TX
• Providers in Livingston, 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 Jan 7, 2019; 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.