Organization Active NPI

Today Dental of Mansfield North PLLC

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1073070066
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TODAY DENTAL OF MANSFIELD NORTH PLLC
Practice address
1200 Highway 287 N Ste 101
Mansfield, TX 76063-2874
Phone
(817) 453-4075
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Kacey Mahoney, DMD
Title
Dentist/Owner
Phone
(817) 318-6329

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Highway 287 N Ste 101
Mansfield, TX 76063-2874

Mailing address

520 E Vine St Unit 484
Keller, TX 76244-3821
Phone (817) 318-6329

Other names 1

  • Today Dental of Mansfield North Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Highway 287 N
Ste 101
Mansfield, TX 76063
Phone (817) 453-4075

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1073070066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 484",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762443821",
            "telephone_number": "817-318-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 287 N STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632874",
            "telephone_number": "817-453-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY DENTAL OF MANSFIELD NORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-318-6329",
        "authorized_official_credential": "DMD"
    },
    "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": "Today Dental of Mansfield North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.