Organization Active NPI

Smiley Tooth LLLP

  • Pediatric Dentistry
  • Rockwall, TX
National Provider Identifier
1740685957
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILEY TOOTH LLLP
Practice address
2014 S Goliad St Ste 122
Rockwall, TX 75087-4864
Phone
(972) 772-7553
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Jennifer A Chou, DDSNPI 1063626521
Title
Owner/Dentist
Phone
(972) 772-7553

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X TX Primary

Addresses

Primary practice location

2014 S Goliad St Ste 122
Rockwall, TX 75087-4864

Mailing address

2014 S Goliad St Ste 122
Rockwall, TX 75087-4864
Phone (972) 772-7553

Other identifiers 2

IdentifierTypeStateIssuer
197101201MedicaidTX
321814101MedicaidTX

National Provider Directory

National Provider Directory

Locations

2014 S Goliad St
Ste 122
Rockwall, TX 75087
Phone (469) 698-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1740685957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S GOLIAD ST STE 122",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874864",
            "telephone_number": "972-772-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S GOLIAD ST STE 122",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874864",
            "telephone_number": "972-772-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY TOOTH LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-772-7553",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197101201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321814101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.