Organization Active NPI

The Smile Clinic, PLLC

  • Dentist
  • Alamo, TX
National Provider Identifier
1649858218
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE SMILE CLINIC, PLLC
Practice address
725 N Tower Rd
Alamo, TX 78516-3758
Phone
(956) 787-4337
NPI assigned
Apr 1, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Olga Ruby Salinas, DDSNPI 1265986640
Title
Owner
Phone
(956) 227-5351

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

725 N Tower Rd
Alamo, TX 78516-3758

Mailing address

725 N Tower Rd
Alamo, TX 78516-3758
Phone (956) 787-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000610 TX Part B Supplier - Clinic/Group Practice 2961810452 Receives reassigned benefits from 1 practitioner
Practice locations: Alamo, TX

National Provider Directory

National Provider Directory

Locations

725 N Tower Rd
Alamo, TX 78516
Phone (956) 787-4337

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": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1649858218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N TOWER RD",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163758",
            "telephone_number": "956-787-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N TOWER RD",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163758",
            "telephone_number": "956-787-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "RUBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-227-5351",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.