Pure Smiles Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23810 Issued in TX

Legal business name

PURE SMILES ORTHODONTICS PLLC

Doing business as

Pure Smiles Orthodontics

Practice address

4301 W William Cannon Dr
Building E, Suite 300
Austin, TX 78749-1473

Phone

(512) 522-5446

NPI assigned

Jul 20, 2010

Last updated

Jul 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Silvana Gonzalez Manzur, D.D.S., MSNPI 1851554117

Title

Orthodontist

Phone

(512) 522-5446

Specialties & licenses 1

Addresses

Other names 1

• Pure Smiles Orthodontics 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, and the practitioner matching its NPPES authorized official.

• Silvana Lucia Gonzalez Manzur, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
  • NPI 1851554117
  Authorized official Same address or phone

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1578876520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "BUILDING E, SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-522-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "BUILDING E, SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-522-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SMILES ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MANZUR",
        "authorized_official_first_name": "SILVANA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "512-522-5446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Purdy, BSN, MSN, FNP-C
• Pure Dermatology PLLC
• Pure Energy Chiropractic
• Pure Healthcare of Texas LLC
• Pure Relief, LLC
• Purelife Medical Supply LLC
• Ryan Purkhiser, M.D.
• Pilar Puron Lujo
• Purple Stone Counseling, PLLC
• David L. Purtle, M.D.

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.