Serenity Global LLC

Primary specialty

DentistTaxonomy code 122300000X

License

24655 Issued in TX

Legal business name

SERENITY GLOBAL LLC

Practice address

696 N Fielder Rd
Suite 104
Arlington, TX 76012-3886

Phone

(817) 277-1871

Fax

(817) 277-1872

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Chanerica Chanise Easley

Title

Chief Executive Officer

Phone

(214) 403-8611

Specialties & licenses 5

Addresses

Other names 1

• Serenity Dental Spa of Arlington Doing business as

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1063851368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 N FIELDER RD",
            "address_2": "SUITE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123886",
            "telephone_number": "817-277-1871",
            "fax_number": "817-277-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N FIELDER RD",
            "address_2": "SUITE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123886",
            "telephone_number": "817-277-1871",
            "fax_number": "817-277-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GLOBAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "CHANERICA",
        "authorized_official_middle_name": "CHANISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-403-8611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24655",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27184",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27691",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14789",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "28582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental Spa of Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Antonio P Serrano, M.D.

• Dentist in Arlington, TX
• Providers in Arlington, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.