Organization Active NPI

Converse Smiles PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1861027153
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CONVERSE SMILES PLLC
Practice address
4230 N Foster Road
San Antonio, TX 78219
Phone
(903) 360-8657
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dhaval Thakkar
Title
Dentist/ Owner
Phone
(903) 360-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4230 N Foster Road
San Antonio, TX 78219

Mailing address

9900 Westpark Dr Ste 350
Houston, TX 77063-5285
Phone (903) 360-8657

National Provider Directory

National Provider Directory

Locations

4230 N Foster Rd
San Antonio, TX 78244

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1861027153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 WESTPARK DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635285",
            "telephone_number": "903-360-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 N FOSTER ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78219",
            "telephone_number": "903-360-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERSE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "903-360-8657"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2020; 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.