Smile Squad of Houston Shepherd PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE SQUAD OF HOUSTON SHEPHERD PLLC

Practice address

3800 N Shepherd Dr Ste 3-a
Houston, TX 77018-6400

Phone

(281) 713-5780

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Strepka, DDS

Title

Owner

Phone

(281) 713-5780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1568088524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N SHEPHERD DR STE 3-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186400",
            "telephone_number": "281-713-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N SHEPHERD DR STE 3-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186400",
            "telephone_number": "281-713-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SQUAD OF HOUSTON SHEPHERD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "STREPKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-713-5780",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.