Organization Active NPI

Marbach Smiles PLLC

  • General Practice Dentistry
  • San Antonio,, TX
National Provider Identifier
1982106696
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARBACH SMILES PLLC
Practice address
10910 Marbach Road
San Antonio,, TX 78245
Phone
(617) 771-2784
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dhaval Thakkar
Title
Owner/Dentist
Phone
(617) 771-2784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10910 Marbach Road
San Antonio,, TX 78245

Mailing address

12903 Tamarack Bend LN
Humble, TX 77346-1569
Phone (903) 360-8657

National Provider Directory

National Provider Directory

Locations

10910 Marbach Rd
San Antonio, TX 78245

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1982106696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 TAMARACK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461569",
            "telephone_number": "903-360-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 MARBACH ROAD",
            "city": "SAN ANTONIO,",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "617-771-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBACH SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-771-2784"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio,, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.