NPIMap

Organization Active NPI

Smile Straight Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1861798829
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25043 Issued in TX
Legal business name
SMILE STRAIGHT ORTHODONTICS PLLC
Practice address
5867 N Mesa St
Ste B
El Paso, TX 79912-4677
Phone
(915) 504-6868
NPI assigned
Feb 8, 2011
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Teresa Zwicky
Title
Credentialing Manager
Phone
(480) 866-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25043 TX Primary

Addresses

Primary practice location

5867 N Mesa St
Ste B
El Paso, TX 79912-4677

Mailing address

5867 N Mesa St
Ste B
El Paso, TX 79912-4677
Phone (915) 504-6868

National Provider Directory

National Provider Directory
Tax ID family
Smile Straight Orthodontics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5867 N Mesa St
Ste B
El Paso, TX 79912
Phone (915) 504-6868

Practitioners & affiliated clinicians

Practitioners 2

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1861798829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5867 N MESA ST",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124677",
            "telephone_number": "915-504-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 N MESA ST",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124677",
            "telephone_number": "915-504-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STRAIGHT ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.