NPIMap

Organization Active NPI

Smile Onsite Services PC

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1679962096
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13843 Issued in TX
Legal business name
SMILE ONSITE SERVICES PC
Practice address
210 Kingfisher Dr
Sugar Land, TX 77478-4710
Phone
(713) 826-2150
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Timothy Allen Bradbury, DDSNPI 1932119476
Title
Owner/Ceo
Phone
(713) 826-2150

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 13843 TX Primary

Addresses

Primary practice location

210 Kingfisher Dr
Sugar Land, TX 77478-4710

Mailing address

PO Box 334
Sugar Land, TX 77487-0334
Phone (713) 826-2150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1679962096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774870334",
            "telephone_number": "713-826-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KINGFISHER DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784710",
            "telephone_number": "713-826-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ONSITE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "713-826-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.