Organization Active NPI

Made Ya Smile Rayford Crossing, PLLC

  • Dental Clinic/Center
  • Spring, TX
National Provider Identifier
1790222685
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14415 Issued in TX
Legal business name
MADE YA SMILE RAYFORD CROSSING, PLLC
Practice address
2833 Riley Fuzzell Rd
Suite 700
Spring, TX 77386-2806
Phone
(281) 566-2813
Fax
(281) 566-2861
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Michael L Kesner, D.D.S.
Title
Dentist/Owner
Phone
(281) 265-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14415 TX Primary

Addresses

Primary practice location

2833 Riley Fuzzell Rd
Suite 700
Spring, TX 77386-2806

Mailing address

1449 Highway 6
Suite 320
Sugar Land, TX 77478-5145
Phone (281) 265-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1790222685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 HIGHWAY 6",
            "address_2": "SUITE 320",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785145",
            "telephone_number": "281-265-1111",
            "fax_number": "281-566-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 RILEY FUZZELL RD",
            "address_2": "SUITE 700",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862806",
            "telephone_number": "281-566-2813",
            "fax_number": "281-566-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE YA SMILE RAYFORD CROSSING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "KESNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "281-265-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.