Organization Active NPI

Smile Avenue Family Dentistry Cinco Ranch

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1508679432
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE AVENUE FAMILY DENTISTRY CINCO RANCH
Practice address
23541 Westheimer Pkwy Ste 170
Katy, TX 77494-3598
Phone
(281) 394-3988
Fax
(281) 394-3980
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Patrick Vuong, DMDNPI 1790191153
Title
Owner
Phone
(281) 394-3988

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

23541 Westheimer Pkwy Ste 170
Katy, TX 77494-3598

Mailing address

23541 Westheimer Pkwy Ste 170
Katy, TX 77494-3598
Phone (281) 394-3988

National Provider Directory

National Provider Directory

Locations

23541 Westheimer Pkwy
Ste 170
Katy, TX 77494
Phone (281) 394-3988

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1508679432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23541 WESTHEIMER PKWY STE 170",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943598",
            "telephone_number": "281-394-3988",
            "fax_number": "281-394-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23541 WESTHEIMER PKWY STE 170",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943598",
            "telephone_number": "281-394-3988",
            "fax_number": "281-394-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AVENUE FAMILY DENTISTRY CINCO RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-394-3988",
        "authorized_official_credential": "DMD"
    },
    "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 Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.