Mi Dentista

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MI DENTISTA

Practice address

3101 W Davis St
Dallas, TX 75211-2921

Phone

(469) 399-1553

NPI assigned

Sep 22, 2020

Last updated

Apr 19, 2023By 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

Loammi Rodriguez

Title

Credentialing Manager

Phone

(214) 335-5013

Specialties & licenses 1

Addresses

Locations

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.

• Luis Alberto Coral, DMD

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1871489328
  NPD
• Hani Noaman Matti, DMD

  • General Practice Dentistry
  • Plano, TX
  • NPI 1326722372
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1184230302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112921",
            "telephone_number": "469-399-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112921",
            "telephone_number": "469-399-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI DENTISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LOAMMI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "214-335-5013"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mga Medical Equipment, Inc.
• Onyinyechi Mgbah, RN
• Lisa Mhloyi
• MHS-CHC I LP (Methodist Rehabilitation Hospital)
• MHS-Chci, LP (Methodist Rehabilitation Hospital Outpatient)
• Mi Familia Medical PLLC
• Mi Familia Medical PLLC
• Mi Familia Medical, PLLC (Mi Familia Medical)
• Mia Michelle LLC
• Abid Miah, B.S.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Apr 19, 2023; 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.