Everest Smile Care, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EVEREST SMILE CARE, LLC

Practice address

11626 T C Jester Blvd Ste 400
Houston, TX 77067-1323

Phone

(346) 316-1920

Fax

(832) 286-1406

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Lean Henley

Title

Operation Manager

Phone

(346) 316-1920

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1558093146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11626 T C JESTER BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671323",
            "telephone_number": "346-316-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11626 T C JESTER BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671323",
            "telephone_number": "346-316-1920",
            "fax_number": "832-286-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16344 Wallisville Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770492329",
            "country_code": "US",
            "telephone_number": "281-860-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVEREST SMILE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "LEAN",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "346-316-1920"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-1639972",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everest Diagnostics
• Everest Foot & Ankle LLC
• Everest Primary Care MD PA
• Everest Real Estate Investments, LLP
• Everest Real Estate Investments, LLP
• Everest TC Jester Pharmacy LLC
• Everest Urgent Care MD PA
• Everest Wallisville Pharmacy Care LLC
• Everett Community Healthcare LLC
• Everett Hyman, OD PC

• Pediatric Dentistry in Houston, TX
• Providers in Houston, 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 30, 2022; 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.