NPIMap

Organization Active NPI

Walzem Family Denttal

Doing business as The Smile Center

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1649508789
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21340 Issued in TX
Legal business name
WALZEM FAMILY DENTTAL
Doing business as
The Smile Center
Practice address
907 S WW White Rd
San Antonio, TX 78220-2528
Phone
(210) 648-7600
NPI assigned
Dec 1, 2009
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Mr. Stephen Simpton, DDS
Title
Owner
Phone
(210) 837-9056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21340 TX Primary

Addresses

Primary practice location

907 S WW White Rd
San Antonio, TX 78220-2528

Mailing address

5402 Walzem Rd
San Antonio, TX 78218-2125

Other names 1

  • The Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

5402 Walzem Rd
Windcrest, TX 78218
Phone (214) 206-5643

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1649508789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 WALZEM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782182125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202528",
            "telephone_number": "210-648-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALZEM FAMILY DENTTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "SIMPTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-837-9056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2009; 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.