Organization Active NPI

Rainbow Smiles Dental Center LLC

  • General Practice Dentistry
  • Marshall, TX
National Provider Identifier
1013225804
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAINBOW SMILES DENTAL CENTER LLC
Practice address
1800 Bomar St
Marshall, TX 75670-6728
Phone
(903) 938-5900
Fax
(903) 938-5903
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Misty Mitchell Fyffe, D.D.S.Q
Title
Owner/Dentist
Phone
(903) 938-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1800 Bomar St
Marshall, TX 75670-6728

Mailing address

1800 Bomar St
Marshall, TX 75670-6728
Phone (903) 938-5900

National Provider Directory

National Provider Directory

Locations

1800 Bomar St
Marshall, TX 75670
Phone (903) 938-5900

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": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1013225804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BOMAR ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706728",
            "telephone_number": "903-938-5900",
            "fax_number": "903-938-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BOMAR ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706728",
            "telephone_number": "903-938-5900",
            "fax_number": "903-938-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW SMILES DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "FYFFE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-938-5900",
        "authorized_official_credential": "D.D.S.Q"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.