Organization Active NPI

JS Pedodontics PLLC

  • Pediatric Dentistry
  • Plano, TX
National Provider Identifier
1497280408
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29083 Issued in TX
Legal business name
JS PEDODONTICS PLLC
Practice address
3555 National Drive
Ste. 200
Plano, TX 75025
Phone
(251) 786-2011
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Jonathan Stuart Smith, DDS
Title
Owner
Phone
(251) 786-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 29083 TX Primary

Addresses

Primary practice location

3555 National Drive
Ste. 200
Plano, TX 75025

Mailing address

3555 National Drive
Ste. 200
Plano, TX 75025
Phone (251) 786-2011

Other names 1

  • Soaring Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3555 National Dr
Ste 200
Plano, TX 75025
Phone (251) 786-2011

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1497280408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 NATIONAL DRIVE",
            "address_2": "STE. 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "251-786-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NATIONAL DRIVE",
            "address_2": "STE. 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "251-786-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS PEDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-786-2011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.