Organization Active NPI

Galactic Smiles PLLC

  • Pediatric Dentistry
  • Humble, TX
National Provider Identifier
1790152650
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27382 Issued in TX
Legal business name
GALACTIC SMILES PLLC
Practice address
9701 N Sam Houston Pkwy E
Humble, TX 77396-4636
Phone
(787) 415-0788
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Diana Carolina Sanchez Baquero, DDS
Title
Owner
Phone
(787) 415-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 27382 TX Primary

Addresses

Primary practice location

9701 N Sam Houston Pkwy E
Humble, TX 77396-4636

Mailing address

9701 N Sam Houston Pkwy E
Humble, TX 77396-4636
Phone (787) 415-0788

National Provider Directory

National Provider Directory

Locations

9701 N Sam Houston Pkwy E
Humble, TX 77396
Phone (787) 415-0788

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1790152650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "787-415-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "787-415-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALACTIC SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ BAQUERO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-415-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.