NPIMap

Organization Active NPI

Marshall Smiles PLLC

  • Dentist
  • Marshall, TX
National Provider Identifier
1902359987
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24365 Issued in TX
Legal business name
MARSHALL SMILES PLLC
Practice address
900 E End Blvd N
200
Marshall, TX 75670
Phone
(903) 935-2273
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Gaurav Puri
Title
Owner Dentist
Phone
(817) 451-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24365 TX Primary

Addresses

Primary practice location

900 E End Blvd N
200
Marshall, TX 75670

Mailing address

900 E End Blvd N
200
Marshall, TX 75670
Phone (903) 935-2273

National Provider Directory

National Provider Directory

Locations

900 E End Blvd N
Ste 200
Marshall, TX 75670
Phone (903) 935-2273

Practitioners & affiliated clinicians

Practitioners 1

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1902359987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E END BLVD N",
            "address_2": "200",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-935-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E END BLVD N",
            "address_2": "200",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-935-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "817-451-4740"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.