NPIMap

Organization Active NPI

Smilerx, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Horseshoe Bay, TX
National Provider Identifier
1790094043
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14067 Issued in TX
Legal business name
SMILERX, PA
Doing business as
SmileRx
Practice address
102 Estrella
Horseshoe Bay, TX 78657
Phone
(702) 738-5334
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Chester Lynn Hurst, DDS, MSNPI 1801975636
Title
Owner/Ceo/President
Phone
(702) 738-5334

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 14067 TX Primary

Addresses

Primary practice location

102 Estrella
Horseshoe Bay, TX 78657

Mailing address

PO Box 8171
Horseshoe Bay, TX 78657-8171
Phone (702) 738-5334

Other identifiers 1

IdentifierTypeStateIssuer
1208795MedicaidTX

Other names 1

  • SmileRx Doing business as

National Provider Directory

National Provider Directory

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": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1790094043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8171",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786578171",
            "telephone_number": "702-738-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ESTRELLA",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "78657",
            "telephone_number": "702-738-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILERX, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2023-09-06",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "702-738-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1208795",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmileRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horseshoe Bay, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.