Organization Active NPI

Lewisville Smiles, P.L.L.C

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1013192236
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEWISVILLE SMILES, P.L.L.C
Practice address
501 S Interstate 35 E
Lewisville, TX 75067-4562
Phone
(469) 635-4867
Fax
(469) 635-4871
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Adrian Codel, DDS
Title
Owner
Phone
(214) 342-5757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

501 S Interstate 35 E
Lewisville, TX 75067-4562

Mailing address

4901 LBJ Freeway
Suite 400
Dallas, TX 75244-6158
Phone (214) 342-5757

Other identifiers 1

IdentifierTypeStateIssuer
1903163-01MedicaidTX

Other names 1

  • All Smiles Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

501 S Stemmons Fwy
Lewisville, TX 75067
Phone (469) 635-4867

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1013192236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LBJ FREEWAY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446158",
            "telephone_number": "214-342-5757",
            "fax_number": "214-340-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S INTERSTATE 35 E",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674562",
            "telephone_number": "469-635-4867",
            "fax_number": "469-635-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE SMILES, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CODEL",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-342-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903163-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.