Organization Active NPI

Wonderland Smiles PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1013422575
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WONDERLAND SMILES PLLC
Practice address
4907 Spring Ave
Dallas, TX 75210-1360
Phone
(469) 828-1166
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. April L Samuels, DDSNPI 1235300195
Title
Owner Dentist
Phone
(214) 274-0483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4907 Spring Ave
Dallas, TX 75210-1360

Mailing address

221 Hartley LN
Red Oak, TX 75154-8878
Phone (214) 274-0483

Other names 1

  • Clean Dental PC Doing business as

National Provider Directory

National Provider Directory

Locations

4907 Spring Ave
Dallas, TX 75210
Phone (214) 765-6212

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": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1013422575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HARTLEY LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751548878",
            "telephone_number": "214-274-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 SPRING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752101360",
            "telephone_number": "469-828-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAND SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "214-274-0483",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clean Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.