Organization Active NPI

Smile Image PA

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1861562670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SMILE IMAGE PA
Practice address
1560 Eldridge Pkwy
Ste 170
Houston, TX 77077
Phone
(281) 759-1277
Fax
(281) 759-1557
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Loan Nguyen, DDSNPI 1295815991
Title
Owner
Phone
(281) 759-1277

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1560 Eldridge Pkwy
Ste 170
Houston, TX 77077

Mailing address

1560 Eldridge Pkwy
Ste 170
Houston, TX 77077
Phone (281) 759-1277

National Provider Directory

National Provider Directory

Locations

1560 Eldridge Pkwy
Ste 170
Houston, TX 77077
Phone (281) 759-1277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861562670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PKWY",
            "address_2": "STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-759-1277",
            "fax_number": "281-759-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PKWY",
            "address_2": "STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-759-1277",
            "fax_number": "281-759-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE IMAGE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-759-1277",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.