Eyesmile Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EYESMILE DENTAL, LLC

Practice address

1300 Main St Ste B
Hays, KS 67601-3658

Phone

(713) 899-3279

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Jarrod E Jones, DDS

Title

President

Phone

(713) 899-3279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1720565690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 W 29TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011405",
            "telephone_number": "713-899-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN ST STE B",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013658",
            "telephone_number": "713-899-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESMILE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-899-3279",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ellis, LMSW
• Mary Faith Engbrecht
• Alexander Anthony Ata Ershadi
• Meriah Marie Escarcega
• Eye Specialists Associated, PA
• Eyesmile Vision LLC
• Michelle D. Fairbank, LCPC-S, LMAC
• Amber Farrell, LPN
• Loren Faurot
• January E. Fields, MD

• Dental Clinic/Center in Hays, KS
• Providers in Hays, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.