Organization Active NPI

Joyful Smiles Pediatric Dentistry and Braces

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1629807730
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JOYFUL SMILES PEDIATRIC DENTISTRY AND BRACES
Practice address
9139 Westover Hills Blvd Ste 105
San Antonio, TX 78251-2889
Phone
(210) 640-9457
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Dr. Virtue Ebohi Omere, DDSNPI 1982299236
Title
Pediatric Dentist
Phone
(210) 640-9457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9139 Westover Hills Blvd Ste 105
San Antonio, TX 78251-2889

Mailing address

9139 Westover Hills Blvd Ste 105
San Antonio, TX 78251-2889
Phone (210) 640-9457

National Provider Directory

National Provider Directory

Locations

9139 Westover Hills Blvd
Ste 105
San Antonio, TX 78251
Phone (210) 435-3333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1629807730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 WESTOVER HILLS BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512889",
            "telephone_number": "210-640-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 WESTOVER HILLS BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512889",
            "telephone_number": "210-640-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL SMILES PEDIATRIC DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "OMERE",
        "authorized_official_first_name": "VIRTUE",
        "authorized_official_middle_name": "EBOHI",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "210-640-9457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.