Miracle Smile Family Dental and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC

Doing business as

Miracle Smile Dental

Practice address

1001 S Highway 377
107
Aubrey, TX 76227

Phone

(469) 346-6112

NPI assigned

Feb 16, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nisha ModiNPI 1689074346

Title

DDS

Phone

(469) 346-6612

Specialties & licenses 1

Addresses

Other names 1

• Miracle Smile Dental Doing business as

Locations

Practitioners 1

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.

• Nisha Modi, DMD

  • Dentist
  • Aubrey, TX
  • NPI 1689074346
  NPD Authorized official

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1174278311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 FOREST GLEN DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634201",
            "telephone_number": "469-346-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HIGHWAY 377",
            "address_2": "107",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "469-346-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "469-346-6612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emeil Anwar Eskandar Mikhaeal, RPH, BSC
• Tina Marie Milacek, LPC
• Wendy Miles
• Michelle Miller
• Samantha Miller
• Karen Mitchell, DC
• Nisha Modi, DMD
• Brooke Modkins
• Lizete Montalvo
• Emily Eunjoo Moon, DDS

• General Practice Dentistry in Aubrey, TX
• Providers in Aubrey, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.