Petite Smiles Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PETITE SMILES PEDIATRIC DENTISTRY, PLLC

Doing business as

Kids 360 Pediatric Dentistry

Practice address

11131 Harlem Rd, Suite 120
Richmond, TX 77406

Phone

(832) 271-6114

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mayuri Appareddy, DMDNPI 1548558687

Title

Owner/Managing Member

Phone

(832) 271-6114

Specialties & licenses 1

Addresses

Other names 1

• Kids 360 Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayuri Appareddy, D.M.D.

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1548558687
  NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1528627916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 VAL VERDE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 HARLEM RD, SUITE 120",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "832-271-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETITE SMILES PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "APPAREDDY",
        "authorized_official_first_name": "MAYURI",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "832-271-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids 360 Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis A Perez, LSA
• Peridot Hearts Home Health LLC
• Tena Perry
• Emlynn Peter
• Shantell Peter
• Petra Home Care LLC
• Petra Home Health and Hospice Services
• Jasmine R Pettway, LMSW
• Peyton Pharmacy LLC
• Anderson Dat-the Pham, RBT, CPR

• Pediatric Dentistry in Richmond, TX
• Providers in Richmond, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.