Organization Active NPI

Prestigious Smiles LLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1720526825
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20963 Issued in TX
Legal business name
PRESTIGIOUS SMILES LLC
Practice address
14119 Stuebner Airline Rd
Houston, TX 77069-3525
Phone
(281) 880-6666
Fax
(832) 446-3472
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Arezo Zarghouni, DDSNPI 1285704767
Title
President
Phone
(281) 880-6666

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20963 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 32624 TX

Addresses

Primary practice location

14119 Stuebner Airline Rd
Houston, TX 77069-3525

Mailing address

14119 Stuebner Airline Rd
Houston, TX 77069-3525
Phone (281) 880-6666

Other identifiers 1

IdentifierTypeStateIssuer
197094909OtherTXTIP

National Provider Directory

National Provider Directory

Locations

14119 Stuebner Airline Rd
Houston, TX 77069
Phone (281) 880-6666

Practitioners & affiliated clinicians

Practitioners 1

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": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1720526825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693525",
            "telephone_number": "281-880-6666",
            "fax_number": "832-446-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693525",
            "telephone_number": "281-880-6666",
            "fax_number": "832-446-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "ZARGHOUNI",
        "authorized_official_first_name": "AREZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-880-6666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20963",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIP",
            "identifier": "197094909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.