Modrall Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MODRALL DENTISTRY, PA

Practice address

2310 Highway 157 N Ste 102
Mansfield, TX 76063-8845

Phone

(682) 688-7546

Fax

(682) 688-7546

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Amy J. Modrall, DDSNPI 1740250539

Title

Owner/Dentist

Phone

(682) 688-7546

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Jo Modrall, D.D.S.

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1740250539
  NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1114721909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638845",
            "telephone_number": "682-688-7546",
            "fax_number": "682-688-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638845",
            "telephone_number": "682-688-7546",
            "fax_number": "682-688-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODRALL DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MODRALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "682-688-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Mitchell, RN, MSN, CPNP
• Tiffany Mitchell
• Brandi N Mizell, LMSW
• Shelese Moaning, LPC
• Modena Holdings, LLC
• Amy Jo Modrall, D.D.S.
• Bryan Haney Molen, DPM
• Crystal Molina-Lomeli, BCBA
• Lilian Nyanganyi Momanyi, PHARMD
• Tyus D Momoh, DPT

• Dental Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.