Amarillo Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24348 Issued in TX

Legal business name

AMARILLO SMILES PLLC

Doing business as

Oneida Dental

Practice address

802 E Amarillo Blvd Ste 300
Amarillo, TX 79107-5401

Phone

(806) 553-7877

NPI assigned

Jan 31, 2018

Last updated

Jan 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Earl Boggs

Title

Chief of Operations

Phone

(940) 368-1495

Specialties & licenses 1

Addresses

Other names 1

• Oneida Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1912405309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "940-368-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E AMARILLO BLVD STE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075401",
            "telephone_number": "806-553-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "940-368-1495"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oneida Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.