Amarillo Super Smiles for Kids PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

AMARILLO SUPER SMILES FOR KIDS PLLC

Practice address

1900 S Coulter St Ste G
Amarillo, TX 79106-1732

Phone

(806) 581-4180

Fax

(806) 255-8122

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Stephen Montoya, DDSNPI 1407045636

Title

Owner

Phone

(806) 581-4180

Specialties & licenses 3

Addresses

Other names 1

• Super Smiles for Kids Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Montoya, DDS

  • Pediatric Dentistry
  • Queen Creek, AZ
  • NPI 1407045636
  NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1972378792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE G",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061732",
            "telephone_number": "806-581-4180",
            "fax_number": "806-255-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE G",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061732",
            "telephone_number": "806-581-4180",
            "fax_number": "806-255-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO SUPER SMILES FOR KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-581-4180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Smiles for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.