Organization Active NPI

Port Arthur Smiles Inc

  • Dentist
  • Port Arthur, TX
National Provider Identifier
1891035499
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PORT ARTHUR SMILES INC
Practice address
4997 N Twin City Hwy
Port Arthur, TX 77642-5845
Phone
(281) 328-4900
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Dr. Dhaval Thakkar, DMD
Title
Owner /Provider
Phone
(409) 548-0685

Specialties & licenses 1

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

Addresses

Primary practice location

4997 N Twin City Hwy
Port Arthur, TX 77642-5845

Mailing address

4997 N Twin City Hwy
Port Arthur, TX 77642-5845

Other names 1

  • Port Arthur Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

4997 N Twin City Hwy
Port Arthur, TX 77642
Phone (409) 548-0685

Practitioners & affiliated clinicians

Practitioners 5

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": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1891035499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4997 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4997 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425845",
            "telephone_number": "281-328-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ARTHUR SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "OWNER /PROVIDER",
        "authorized_official_telephone_number": "409-548-0685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Arthur Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.