Organization Active NPI

Smile Bright Dental Studio

  • Dental Clinic/Center
  • Fulshear, TX
National Provider Identifier
1770120008
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE BRIGHT DENTAL STUDIO
Practice address
6300 FM 1463
150
Fulshear, TX 77441-7740
Phone
(281) 989-0087
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Dr. Nkechi Nwagwu, DDS
Title
Owner/Dentist
Phone
(281) 852-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6300 FM 1463
150
Fulshear, TX 77441-7740

Mailing address

6300 FM 1463 Rd Ste 150
Fulshear, TX 77494-1849
Phone (281) 852-9883

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.smilebrightdentalstudio.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6300 FM 1463 Rd
Ste 150
Fulshear, TX 77494
Phone (281) 989-0087

Practitioners & affiliated clinicians

Practitioners 1

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1770120008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 FM 1463 RD STE 150",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774941849",
            "telephone_number": "281-852-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 FM 1463",
            "address_2": "150",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774417740",
            "telephone_number": "281-989-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BRIGHT DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-852-9883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.smilebrightdentalstudio.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "6300 FM 1463",
            "address_2": "150",
            "city": "Fulshear",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774417740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.