Organization Active NPI

Smile Texas Outreach, PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1477818409
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8987 Issued in TX
Legal business name
SMILE TEXAS OUTREACH, PC
Practice address
8315 Walnut Hill LN
Suite 230
Dallas, TX 75231-4218
Phone
(888) 833-8441
Fax
(888) 330-4331
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Terrel R. Myers, DDS
Title
Dental Director
Phone
(888) 833-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8987 TX Primary

Addresses

Primary practice location

8315 Walnut Hill LN
Suite 230
Dallas, TX 75231-4218

Mailing address

33533 W 12 Mile Rd
Suite 150
Farmington Hills, MI 48331-3354
Phone (888) 833-8441

National Provider Directory

National Provider Directory

Locations

8315 Walnut Hill Ln
Ste 230
Dallas, TX 75231
Phone (214) 691-6698

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1477818409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313354",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 WALNUT HILL LN",
            "address_2": "SUITE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314218",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TEXAS OUTREACH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TERREL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "8987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.