NPIMap

Organization Active NPI

Lcpdsmiles PLLC

  • Pediatric Dentistry
  • Montgomery, TX
National Provider Identifier
1477287340
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LCPDSMILES PLLC
Practice address
15320 Highway 105 W Ste 114
Montgomery, TX 77356-2602
Phone
(936) 444-4044
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Carl Pittman, DDSNPI 1558412890
Title
Member
Phone
(713) 705-3582

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

15320 Highway 105 W Ste 114
Montgomery, TX 77356-2602

Mailing address

4542 Spring Stuebner Rd Ste 500
Spring, TX 77389-4633
Phone (713) 705-3582

National Provider Directory

National Provider Directory

Locations

15320 Highway 105 W
Ste 114
Montgomery, TX 77356
Phone (936) 444-4044

4542 Spring Stuebner Rd
Ste 500
Spring, TX 77389

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1477287340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 SPRING STUEBNER RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894633",
            "telephone_number": "713-705-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 HIGHWAY 105 W STE 114",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562602",
            "telephone_number": "936-444-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCPDSMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-705-3582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.