Smile Providers, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

23141 Issued in TX

Legal business name

SMILE PROVIDERS, PC

Practice address

2802 Garth Rd Ste 311
Baytown, TX 77521-3957

Phone

(281) 427-7376

Fax

(281) 422-9322

NPI assigned

Jan 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gerardo Guajardo, DDS, MSDNPI 1891956611

Title

Owner

Phone

(281) 427-7376

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Gerardo Guajardo, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baytown, TX
  • NPI 1891956611
  NPD (past) Authorized official
• Roland Durnell Wilken, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baytown, TX
  • NPI 1316954076
  NPD (past)

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1578894986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 311",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213957",
            "telephone_number": "281-427-7376",
            "fax_number": "281-422-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 311",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213957",
            "telephone_number": "281-427-7376",
            "fax_number": "281-422-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PROVIDERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-427-7376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Pevestorff Simmons, PT
• Linda Ngose Simo
• Nicole Anidiobi Simon, PHARM.D.
• Kaitlyn Sliger, PT, DPT
• Mary Sluss
• Brian F Smith, D.O.
• Jason T. Smith, CSFA
• Jenna Nicole Smith, LAT, ATC
• Joseph H Smith, DPM
• Paige Warner Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in Baytown, TX
• Providers in Baytown, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.