NPIMap

Organization Active NPI

Smile Center for Kids I PLLC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1689072233
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE CENTER FOR KIDS I PLLC
Practice address
1050 Sundland Park Drive
Suite 200 B
El Paso, TX 79922
Phone
(915) 493-6310
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Robert WilsonNPI 1649330291
Title
President
Phone
(915) 493-6310

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X 24420 TX

Addresses

Primary practice location

1050 Sundland Park Drive
Suite 200 B
El Paso, TX 79922

Mailing address

12801 Edgemere Blvd # B
Suite 112
El Paso, TX 79938-9500

National Provider Directory

National Provider Directory

Locations

12801 Edgemere Blvd
Ste 112
El Paso, TX 79938
Phone (915) 493-6310

1050 Sunland Park Dr
#B200
El Paso, TX 79922
Phone (915) 213-1200

1050 Sunland Park Dr
#200B
El Paso, TX 79922
Phone (915) 493-6310

Practitioners & affiliated clinicians

Practitioners 4

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": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1689072233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 EDGEMERE BLVD # B",
            "address_2": "SUITE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SUNDLAND PARK DRIVE",
            "address_2": "SUITE 200 B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79922",
            "telephone_number": "915-493-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER FOR KIDS I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-493-6310"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "24420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.