SMS Dental Management, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMS DENTAL MANAGEMENT, INC

Practice address

1414 Eldridge Pkwy
Houston, TX 77077-1625

Phone

(832) 243-4302

Fax

(832) 486-9528

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Ali F Khan

Title

Cfo

Phone

(713) 502-6893

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eldridge Parkway Dental Doing business as

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1497099733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELDRIDGE PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771625",
            "telephone_number": "832-243-4302",
            "fax_number": "832-486-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ELDRIDGE PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771625",
            "telephone_number": "832-243-4302",
            "fax_number": "832-486-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMS DENTAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-502-6893"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "614307189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldridge Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desmond Smoot
• Robert C Smoot
• Kimberly Diane Smoots, M.ED, PH.D
• Laura Beth Smothermon, LPC
• SMRM PLLC
• SMS Home Health LLC
• SMS Hospice Care LLC
• SMW Global Enterprises, LLC
• Shane Smyth, M.D.
• SN Tuma Inc

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.