NPIMap

Organization Active NPI

The Smile Shoppe, PLLC

  • General Practice Dentistry
  • Mission, TX
National Provider Identifier
1821498379
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24995 Issued in TX
Legal business name
THE SMILE SHOPPE, PLLC
Practice address
1123 E 9TH St
Suite 10-a
Mission, TX 78572-4404
Phone
(956) 581-7000
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Nicholas Quach, DDS
Title
Partner
Phone
(956) 433-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24995 TX Primary

Addresses

Primary practice location

1123 E 9TH St
Suite 10-a
Mission, TX 78572-4404

Mailing address

1123 E 9TH St
Suite 10-a
Mission, TX 78572-4404
Phone (956) 581-7000

National Provider Directory

National Provider Directory

Locations

1123 E 9th St
Ste 10A
Mission, TX 78572
Phone (956) 581-7000

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1821498379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 E 9TH ST",
            "address_2": "SUITE 10-A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724404",
            "telephone_number": "956-581-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E 9TH ST",
            "address_2": "SUITE 10-A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724404",
            "telephone_number": "956-581-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE SHOPPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "956-433-3773",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.