OrganizationActive
Space City Smiles
NPI 1750879912 · Dental Clinic/Center · Houston, TX
Space City Smiles is a Dental Clinic/Center organization in Houston, TX (NPI 1750879912).
Provider details
- NPI number
- 1750879912
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnathan Phan, Manager(713) 363-1338
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2415 Blalock Rd.
Suite a
Houston, TX 77080
Phone: (832) 380-5149
Street-level locationGet directions
Mailing address
2415 Blalock Rd.
Houston, TX 77080
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2018-04-24
Frequently asked questions
- What is Space City Smiles's NPI number?
- Space City Smiles's National Provider Identifier (NPI) is 1750879912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space City Smiles?
- Space City Smiles is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space City Smiles located?
- Space City Smiles's practice location on file with NPPES is 2415 Blalock Rd., Houston, TX 77080.
- What is Space City Smiles's phone number?
- The practice phone number listed in the NPPES registry for Space City Smiles is (832) 380-5149.
- Who is the authorized official for Space City Smiles?
- The authorized official listed on Space City Smiles's NPPES record is Johnathan Phan, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space City Smiles's NPI active?
- Yes — Space City Smiles's NPI (1750879912) is active in the NPPES registry as of the last update on 2018-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.