Organization Active NPI

Smile Stop P.C.

  • Exclusive Provider Organization
  • Friendswood, TX
National Provider Identifier
1932490893
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
23141 Issued in TX
Legal business name
SMILE STOP P.C.
Practice address
820 S Friendswood Dr Ste 102
Friendswood, TX 77546-4543
Phone
(281) 482-2640
Fax
(281) 482-0545
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Gerardo Guajardo Guajardo, D.D.S., M.S.D.
Title
Orthodontist
Phone
(281) 482-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 23141 TX Primary

Addresses

Primary practice location

820 S Friendswood Dr Ste 102
Friendswood, TX 77546-4543

Mailing address

820 S Friendswood Dr Ste 102
Friendswood, TX 77546-4543
Phone (281) 482-2640

National Provider Directory

National Provider Directory

Locations

820 S Friendswood Dr
Ste 102
Friendswood, TX 77546
Phone (281) 482-2640

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1932490893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S FRIENDSWOOD DR STE 102",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464543",
            "telephone_number": "281-482-2640",
            "fax_number": "281-482-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S FRIENDSWOOD DR STE 102",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464543",
            "telephone_number": "281-482-2640",
            "fax_number": "281-482-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STOP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "GUAJARDO",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "281-482-2640",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "23141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.