NPIMap

Organization Active NPI

Wylie Smiles PLLC

  • General Practice Dentistry
  • Wylie, TX
National Provider Identifier
1891164273
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30664 Issued in TX
Legal business name
WYLIE SMILES PLLC
Practice address
2014 N. Highway 78
150
Wylie, TX 75098
Phone
(708) 522-4457
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Syed IqbalNPI 1437548971
Title
Owner Dentist
Phone
(708) 522-4457

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
General Practice Dentistry 1223G0001X 30664 TX Primary

Addresses

Primary practice location

2014 N. Highway 78
150
Wylie, TX 75098

Mailing address

2014 N. Highway 78
150
Wylie, TX 75098

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": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1891164273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N. HIGHWAY 78",
            "address_2": "150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N. HIGHWAY 78",
            "address_2": "150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "708-522-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "708-522-4457"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 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.