Organization Active NPI

A Bright Smile 4 Kids, LLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1841598257
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25349 Issued in TX
Legal business name
A BRIGHT SMILE 4 KIDS, LLC
Practice address
3606 S Zarzamora St
San Antonio, TX 78225-1359
Phone
(210) 927-3000
Fax
(210) 332-5190
NPI assigned
Mar 9, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Christopher Charles Watkins, D.D.S.NPI 1184786147
Title
Owner Dentist
Phone
(210) 927-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25349 TX Primary

Addresses

Primary practice location

3606 S Zarzamora St
San Antonio, TX 78225-1359

Mailing address

3606 S Zarzamora St
San Antonio, TX 78225-1359
Phone (210) 927-3000

Other identifiers 1

IdentifierTypeStateIssuer
1184786147MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1841598257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782251359",
            "telephone_number": "210-927-3000",
            "fax_number": "210-332-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782251359",
            "telephone_number": "210-927-3000",
            "fax_number": "210-332-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHT SMILE 4 KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "210-927-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184786147",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.