NPIMap

Organization Active NPI

Metropolitan Dental Associates PA

Doing business as smile store

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1972727519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6636 Issued in TX
Legal business name
METROPOLITAN DENTAL ASSOCIATES PA
Doing business as
smile store
Practice address
2315 Southwest Fwy
Suite #200
Houston, TX 77098-4700
Phone
(713) 523-2328
Fax
(713) 528-5542
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles M Blum, DDSNPI 1396827770
Title
Owner
Phone
(713) 523-2328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6636 TX Primary

Addresses

Primary practice location

2315 Southwest Fwy
Suite #200
Houston, TX 77098-4700

Mailing address

2315 Southwest Fwy
Suite #200
Houston, TX 77098-4700
Phone (713) 523-2328

Other names 1

  • smile store Doing business as

National Provider Directory

National Provider Directory

Locations

2315 Southwest Fwy
Ste 200
Houston, TX 77098
Phone (713) 523-2328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972727519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SOUTHWEST FWY",
            "address_2": "SUITE #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984700",
            "telephone_number": "713-523-2328",
            "fax_number": "713-528-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SOUTHWEST FWY",
            "address_2": "SUITE #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984700",
            "telephone_number": "713-523-2328",
            "fax_number": "713-528-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-523-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "6636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smile store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.