NPIMap

Organization Active NPI

Just Smiles Dental

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1184798522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18686 Issued in TX
Legal business name
JUST SMILES DENTAL
Practice address
708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018
Phone
(817) 473-1560
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy C DO, DDSNPI 1750559753
Title
President
Phone
(817) 473-1560

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18686 TX Primary

Addresses

Primary practice location

708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018

Mailing address

708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184798522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HUNTERS ROW CT STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HUNTERS ROW CT STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634018",
            "telephone_number": "817-473-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-473-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.