NPIMap

Organization Active NPI

Leonel Guardiola, DDS, PLLC

Doing business as Smile Studio of Wylie

  • Dentist
  • Wylie, TX
National Provider Identifier
1861884066
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30004 Issued in TX
Legal business name
LEONEL GUARDIOLA, DDS, PLLC
Doing business as
Smile Studio of Wylie
Practice address
1125 W FM 544
Ste 700
Wylie, TX 75098-4951
Phone
(972) 442-3028
Fax
(972) 442-3831
NPI assigned
Feb 25, 2015
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Dr. Leonel Guardiola, D.D.S.NPI 1356754899
Title
Doctor
Phone
(972) 442-3028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30004 TX Primary

Addresses

Primary practice location

1125 W FM 544
Ste 700
Wylie, TX 75098-4951

Mailing address

1125 W FM 544
Ste 700
Wylie, TX 75098-4951
Phone (972) 442-3028

Other names 1

  • Smile Studio of Wylie Doing business as

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": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1861884066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W FM 544",
            "address_2": "STE 700",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984951",
            "telephone_number": "972-442-3028",
            "fax_number": "972-442-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W FM 544",
            "address_2": "STE 700",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984951",
            "telephone_number": "972-442-3028",
            "fax_number": "972-442-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONEL GUARDIOLA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "GUARDIOLA",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-442-3028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Studio of Wylie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.