Smiles for Schools

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

9533 Issued in TX

Legal business name

SMILES FOR SCHOOLS

Practice address

902 Clearwater Cir
Austin, TX 78753-2404

Phone

(512) 627-2668

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy Tesch, R.D.H.

Title

Owner

Phone

(512) 627-2668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1962702910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLEARWATER CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532404",
            "telephone_number": "512-627-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CLEARWATER CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532404",
            "telephone_number": "512-627-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "TESCH",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-627-2668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "9533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130641707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Matthew Smiddy, RN
• Smile 360 PLLC
• Smile Bar Professional Corporation
• Smile Salon, PLLC
• Smiles by Design
• Smiley Dental Lamar PLLC
• Nicollette Simone Smiley
• Sarah Imogene Smiley, D.O.
• Stephanie Smiley, LCSW
• Smith Family Chiropractic

• Public Health Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.