Active NPI
Smiley Tooth LLLP
- Pediatric Dentistry
- Rockwall, TX
National Provider Identifier
1740685957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Chou, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197101201 | Medicaid | TX | |
| 321814101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Rockwall, TX
- NPI 1063626521
-
- Dentist
- Sulphur Springs, TX
- NPI 1932770682
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.