NPIMap

Organization Active NPI

Enhanced Smile Studio, PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1508555673
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENHANCED SMILE STUDIO, PLLC
Practice address
21715 W Interstate 10 Ste 105
San Antonio, TX 78257-2110
Phone
(213) 880-9316
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Ruiwen MaNPI 1376036996
Title
DDS
Phone
(213) 880-9316

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

21715 W Interstate 10 Ste 105
San Antonio, TX 78257-2110

Mailing address

18818 Real RDG
San Antonio, TX 78256-1909

National Provider Directory

National Provider Directory

Locations

21715 W Interstate 10
Ste 105
San Antonio, TX 78257
Phone (213) 880-9316

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1508555673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 REAL RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21715 W INTERSTATE 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572110",
            "telephone_number": "213-880-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED SMILE STUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "RUIWEN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "213-880-9316"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.