Ac Smiles Dental Management LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AC SMILES DENTAL MANAGEMENT LLC

Doing business as

AC Smiles Dental

Practice address

11360 Bellaire Blvd Ste 200
Houston, TX 77072-2532

Phone

(832) 617-8518

NPI assigned

Sep 28, 2018

Last updated

Nov 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andy Kou

Title

Owner

Phone

(281) 550-5757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AC Smiles Dental Doing business as

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1821573411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722532",
            "telephone_number": "832-617-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722532",
            "telephone_number": "832-617-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC SMILES DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KOU",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-550-5757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280407204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AC Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AC Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.