Organization Active NPI

Growing Smiles of Anna PLLC

  • General Practice Dentistry
  • Anna, TX
National Provider Identifier
1174086284
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GROWING SMILES OF ANNA PLLC
Practice address
2530 W White St
Suite 104
Anna, TX 75409-7508
Phone
(214) 501-2721
NPI assigned
Apr 8, 2019
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Mohamad Raghid Alolabi, DDS
Title
Owner
Phone
(214) 501-2721

Specialties & licenses 1

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

Addresses

Primary practice location

2530 W White St
Suite 104
Anna, TX 75409-7508

Mailing address

3610 Shire Blvd Ste 110
Richardson, TX 75082-2239
Phone (214) 501-2721

National Provider Directory

National Provider Directory

Locations

2530 W White St
Ste 104
Anna, TX 75409
Phone (214) 501-2721

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1174086284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822239",
            "telephone_number": "214-501-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W WHITE ST",
            "address_2": "SUITE 104",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754097508",
            "telephone_number": "214-501-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES OF ANNA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "ALOLABI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "RAGHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-501-2721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.