Organization Active NPI

Smile Zone, P.C.

  • Dentist
  • Dallas, TX
National Provider Identifier
1124217641
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20505 Issued in TX
Legal business name
SMILE ZONE, P.C.
Practice address
1243 E Red Bird LN
Dallas, TX 75241-2008
Phone
(469) 569-2368
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Dr. Vanphaphone Rick Linavong, DDS
Title
Owner/Dentist
Phone
(469) 569-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20505 TX Primary

Addresses

Primary practice location

1243 E Red Bird LN
Dallas, TX 75241-2008

Mailing address

1243 E Red Bird LN
Dallas, TX 75241-2008
Phone (469) 569-2368

National Provider Directory

National Provider Directory

Locations

1243 E Red Bird Ln
Dallas, TX 75241
Phone (214) 372-6062

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1124217641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "469-569-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "469-569-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "LINAVONG",
        "authorized_official_first_name": "VANPHAPHONE",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "469-569-2368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.