Organization Active NPI

Teeth R US Children's Dentistry PLLC

Doing business as Teeth R Us

  • Pediatric Dentistry
  • Plano, TX
National Provider Identifier
1174971519
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30806 Issued in TX
Legal business name
TEETH R US CHILDREN'S DENTISTRY PLLC
Doing business as
Teeth R Us
Practice address
4865 Hedgcoxe Rd
Ste 100
Plano, TX 75024-2406
Phone
(972) 820-2022
Fax
(972) 820-2024
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Nathifa Pasua Smith, DDSNPI 1104185818
Title
Owner
Phone
(972) 820-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30806 TX Primary

Addresses

Primary practice location

4865 Hedgcoxe Rd
Ste 100
Plano, TX 75024-2406

Mailing address

4865 Hedgcoxe Rd
Ste 100
Plano, TX 75024-2406
Phone (972) 820-2022

Other identifiers 1

IdentifierTypeStateIssuer
3463424-11MedicaidTX

Other names 1

  • Teeth R Us Doing business as

National Provider Directory

National Provider Directory

Locations

4865 Hedgcoxe Rd
Ste 100
Plano, TX 75024
Phone (214) 705-2888

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1174971519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 HEDGCOXE RD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242406",
            "telephone_number": "972-820-2022",
            "fax_number": "972-820-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 HEDGCOXE RD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242406",
            "telephone_number": "972-820-2022",
            "fax_number": "972-820-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH R US CHILDREN'S DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHIFA",
        "authorized_official_middle_name": "PASUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-820-2022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3463424-11",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teeth R Us",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.