NPIMap

Organization Active NPI

Gaurav Puri PA

Doing business as family smiles of palestine

  • General Practice Dentistry
  • Palestine, TX
National Provider Identifier
1609167923
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24365 Issued in TX
Legal business name
GAURAV PURI PA
Doing business as
family smiles of palestine
Practice address
419 Old Elkhart Rd
Ste 110
Palestine, TX 75801-5922
Phone
(617) 281-7941
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Gaurav Puri
Title
Director
Phone
(617) 281-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24365 TX Primary

Addresses

Primary practice location

419 Old Elkhart Rd
Ste 110
Palestine, TX 75801-5922

Mailing address

8337 Summer Park Dr
8337 Summer Park Drive
Fort Worth, TX 76123-1991
Phone (617) 281-7941

Other names 1

  • family smiles of palestine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Smiles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1609167923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 SUMMER PARK DR",
            "address_2": "8337 SUMMER PARK DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231991",
            "telephone_number": "617-281-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 OLD ELKHART RD",
            "address_2": "STE 110",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015922",
            "telephone_number": "617-281-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV PURI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-281-7941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family smiles of palestine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.