NPIMap

Organization Active NPI

Shandra Cushingberry, DDS, PA

Doing business as Simply Smiles Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1831463884
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19439 Issued in TX
Legal business name
SHANDRA CUSHINGBERRY, DDS, PA
Doing business as
Simply Smiles Family and Cosmetic Dentistry
Practice address
10350 S Post Oak Rd
Suite H
Houston, TX 77035-3313
Phone
(713) 551-9400
Fax
(713) 551-9405
NPI assigned
Mar 7, 2012
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Shandra Cushingberry, DDS
Title
Owner/President
Phone
(713) 551-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19439 TX Primary

Addresses

Primary practice location

10350 S Post Oak Rd
Suite H
Houston, TX 77035-3313

Mailing address

10350 S Post Oak Rd
Suite H
Houston, TX 77035-3313
Phone (713) 551-9400

Other identifiers 2

IdentifierTypeStateIssuer
135072011MedicaidTX
336290OtherTXDENTAQUEST

Other names 1

  • Simply Smiles Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1831463884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 S POST OAK RD",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353313",
            "telephone_number": "713-551-9400",
            "fax_number": "713-551-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 S POST OAK RD",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353313",
            "telephone_number": "713-551-9400",
            "fax_number": "713-551-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDRA CUSHINGBERRY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "CUSHINGBERRY",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-551-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135072011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST",
            "identifier": "336290",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Smiles Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.