Kallison Ranch Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KALLISON RANCH SMILES PLLC

Practice address

14048 Culebra Rd
San Antonio, TX 78253-7225

Phone

(903) 360-8657

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By 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

Dhaval Thakkar

Title

Dentist/Owner

Phone

(903) 360-8657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1922742402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 APSLEY CREEK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794371",
            "telephone_number": "903-360-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14048 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537225",
            "telephone_number": "903-360-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLISON RANCH SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "903-360-8657"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Kalisky
• Noemi Kalk
• Kenneth L Kalkwarf, DDS
• Kenneth Kallies, RN
• Beela Blessan Kallimel, FNP-C
• Stuart Roy Kalmus II, D.D.S.
• Juntree Kalof, PTA
• Megan Kalpin
• Krystal Aileen Kalt, APRN-CNP, PMHNP-BC
• Cheryl M Kalter, LPC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Apr 21, 2022; 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.