Organization Active NPI

Smileeasy Dental Grand Prairie, PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1073054748
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILEEASY DENTAL GRAND PRAIRIE, PLLC
Practice address
2650 S Hwy 161
Grand Prairie, TX 75050
Phone
(214) 350-8800
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Dr. Lan CHI Le
Title
Managing Member
Phone
(214) 350-8800

Specialties & licenses 1

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

Addresses

Primary practice location

2650 S Hwy 161
Grand Prairie, TX 75050

Mailing address

2823 Kendale Dr
Dallas, TX 75220-4736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1073054748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 KENDALE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S HWY 161",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "214-350-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEEASY DENTAL GRAND PRAIRIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LAN CHI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-350-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.