Smiles by Spates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES BY SPATES, LLC

Practice address

215 S Loop 336 W Ste 100
Conroe, TX 77304-3362

Phone

(936) 270-1294

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Jacomino-Barnes

Title

Dir. of Credentialing & Enrrollment

Phone

(800) 277-3633

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Wen Lee Wong

  • Dentist
  • Conroe, TX
  • NPI 1902641053
  NPD
• Nnamdi Lawrence Anosike, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Missouri City, TX
  • NPI 1073006433
  NPD (past)

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1750157962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043362",
            "telephone_number": "936-270-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY SPATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "JACOMINO-BARNES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIR. OF CREDENTIALING & ENRROLLMENT",
        "authorized_official_telephone_number": "800-277-3633"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Slomka, APRN, FNP-C
• SLP Conroe LLC
• Smbsaifee Healthcare PLLC
• Smile Conroe, PA
• Smile Revolution PLLC
• Jarrett Smilie, L.M.T., NASM-CPT
• Smilux Dental Studio PLLC
• Susanna J Louisa Smit
• Darrell Smith
• Elizabeth Kay Smith, FNP-BC

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.