Renner Children's Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS

Doing business as

Growing Smiles

Practice address

3610 Shire Blvd Ste 110
Richardson, TX 75082-2239

Phone

(214) 697-4173

NPI assigned

May 7, 2013

Last updated

May 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khaled Jadid, DDS

Title

Dentist

Phone

(214) 697-4173

Specialties & licenses 2

Addresses

Other names 1

• Growing Smiles Doing business as

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1053756858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822239",
            "telephone_number": "214-697-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "JADID",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "214-697-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Remaklus
• Michelle Renee Remmenga, SLP
• Helen Remoun Rezk, RBT
• Gideon Rempel
• Renaissance Oncology Counseling Associates, Inc.
• Renner Internal Medicine
• Renner Pediatrics and Children's Healthcare, P.a.
• Jyothi Reddy Rereddy, MD
• Resk Healthcare LLC (Star City Hospice)
• Heather Resneder, M.A., LMFT

• Pediatric Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.