Precision Smile Structure Mission

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27468 Issued in TX

Legal business name

PRECISION SMILE STRUCTURE MISSION

Practice address

3454 Roosevelt Ave
San Antonio, TX 78214-2657

Phone

(210) 572-2385

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Adam SmithNPI 1376774133

Title

Owner

Phone

(530) 415-5483

Specialties & licenses 1

Addresses

Practitioners 2

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

• Adam Leslie Smith, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1376774133
  NPD (past) Authorized official
• Roberto Issac Cortez, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1235425463
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1659801397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410 STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142657",
            "telephone_number": "210-572-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SMILE STRUCTURE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-415-5483"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Counseling
• Precision First Assist LLC
• Precision First Assist of Dallas LLC
• Precision Hearing Conservation, PC
• Precision Smile Structure Ingram
• Precision Smile Structure South Park
• Precision Spine and Pain Management
• Precision Sport & Spine
• Precision Surgery Partners,LLC
• Precision Translational Medicine

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.