United Orthodontics of South East El Paso PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

23677 Issued in TX

Legal business name

UNITED ORTHODONTICS OF SOUTH EAST EL PASO PLLC

Doing business as

SmileLife Orthodontics

Practice address

17503 La Cantera Pkwy
Ste 104-496
San Antonio, TX 78257-8207

Phone

(210) 561-2400

Fax

(210) 561-2400

NPI assigned

May 20, 2013

Organization subpart

Yes

Parent organization

UNITED ORTHODONTICS PCAs reported in NPPES

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

Authorized official

Name

Dr. Ashley Smith, D.D.S

Title

Owner/Provider

Phone

(361) 442-4902

Specialties & licenses 1

Addresses

Other names 1

• SmileLife Orthodontics Doing business as

Part of

United Orthodontics PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• United Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1205277670
  NPPES parent name

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1730525692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 GATEWAY BLVD. N",
            "address_2": "STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79915",
            "telephone_number": "915-595-1200",
            "fax_number": "915-590-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "STE 104-496",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-561-2400",
            "fax_number": "210-561-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ORTHODONTICS OF SOUTH EAST EL PASO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED ORTHODONTICS PC",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "361-442-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileLife Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.