Organization Active NPI

Smile Metroplex Family Dentistry Masters PLLC

  • Dentist
  • Dallas, TX
National Provider Identifier
1013653765
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE METROPLEX FAMILY DENTISTRY MASTERS PLLC
Practice address
2020 N Masters Dr Ste 100
Dallas, TX 75217-3168
Phone
(972) 285-2600
Fax
(972) 285-2605
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Melissa Hernandez
Title
Office Manager
Phone
(972) 285-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2020 N Masters Dr Ste 100
Dallas, TX 75217-3168

Mailing address

2020 N Masters Dr Ste 100
Dallas, TX 75217-3168
Phone (972) 285-2600

Other names 1

  • Smile Metroplex Doing business as

National Provider Directory

National Provider Directory

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1013653765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N MASTERS DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173168",
            "telephone_number": "972-285-2600",
            "fax_number": "972-285-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N MASTERS DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173168",
            "telephone_number": "972-285-2600",
            "fax_number": "972-285-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE METROPLEX FAMILY DENTISTRY MASTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-285-2600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Metroplex",
            "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 May 6, 2022; 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.