Texan Smile Dentistry 1 PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15889 Issued in TX

Legal business name

TEXAN SMILE DENTISTRY 1 PC

Practice address

5858 S Padre Island Dr
#54A
Corpus Christi, TX 78412-3932

Phone

(361) 994-4867

Fax

(361) 994-1655

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Bertha Elizabeth Rodriguez

Title

Regional Manager

Phone

(210) 681-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1942519632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "#54A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123932",
            "telephone_number": "361-994-4867",
            "fax_number": "361-994-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "#54A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123932",
            "telephone_number": "361-994-4867",
            "fax_number": "361-994-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN SMILE DENTISTRY 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "210-681-4867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Terrazas, CPM LM
• Terry R Summers DDS
• Terry Robert Groff, M.D., P.a.
• Patricia Terry, LMT
• Texan Smile Dentistry
• Texas a&M Corpus Christi
• Texas a&M Health Science Center-Coastal Bend Health Education Center
• Texas a&M University Corpus Christi Athletic Training Room
• Texas Adult Day Care Centers Inc.
• Texas Behavioral Health Associates, PLLC

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, 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 Sep 29, 2010; 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.