Active NPI
About Smiles Dental Care
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1508009465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ABOUT SMILES DENTAL CARE
- Practice address
- 2555 Western Trails Blvd
Suite 104
Austin, TX 78745-1687 - Phone
- (512) 444-5577
- Fax
- (512) 892-6270
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe K Smith
- Title
- Dentist
- Phone
- (512) 444-5577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2555 Western Trails Blvd
Suite 104
Austin, TX 78745-1687
Mailing address
2555 Western Trails Blvd
Suite 104
Austin, TX 78745-1687
Phone (512) 444-5577
National Provider Directory
National Provider DirectoryLocations
2555 Western Trails Blvd
Ste 104
Austin, TX 78745
Phone (512) 444-5577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1508009465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 WESTERN TRAILS BLVD",
"address_2": "SUITE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451687",
"telephone_number": "512-444-5577",
"fax_number": "512-892-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 WESTERN TRAILS BLVD",
"address_2": "SUITE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451687",
"telephone_number": "512-444-5577",
"fax_number": "512-892-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABOUT SMILES DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "512-444-5577"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.