Organization Active NPI

Transcendental Smiles of Memorial PLLC

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1841781853
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20635 Issued in TX
Legal business name
TRANSCENDENTAL SMILES OF MEMORIAL PLLC
Practice address
13211 Memorial Dr
Houston, TX 77079-3537
Phone
(281) 909-4747
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Dr. Bill So, DDS
Title
Dentist
Phone
(281) 909-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20635 TX Primary

Addresses

Primary practice location

13211 Memorial Dr
Houston, TX 77079-3537

Mailing address

931 Carlingford LN
Houston, TX 77079-3205
Phone (713) 498-2217

Other identifiers 1

IdentifierTypeStateIssuer
183543101MedicaidTX

National Provider Directory

National Provider Directory

Locations

13211 Memorial Dr
Houston, TX 77079
Phone (281) 909-4747

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1841781853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CARLINGFORD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793205",
            "telephone_number": "713-498-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13211 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793537",
            "telephone_number": "281-909-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENTAL SMILES OF MEMORIAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-909-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183543101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 24, 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.