Smile Boutique of Hurst

Primary specialty

DentistTaxonomy code 122300000X

License

28307 Issued in TX

Legal business name

SMILE BOUTIQUE OF HURST

Practice address

401 Eventide Way
Colleyville, TX 76034-8201

Phone

(817) 369-4340

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Thanh-Xuan Bui Nguyen, DDSNPI 1548549751

Title

Owner/Dentist

Phone

(504) 615-2205

Specialties & licenses 1

Addresses

Other names 1

• dx dental, PLLC Doing business as

Locations

Practitioners 2

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

• Thanh-Xuan B Nguyen, DDS

  • General Practice Dentistry
  • Keller, TX
  • NPI 1548549751
  NPD (past) Authorized official
• Danny Ba Nguyen, D.D.S

  • Dentist
  • Hurst, TX
  • NPI 1619227956
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1225575210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542351",
            "telephone_number": "817-369-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EVENTIDE WAY",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348201",
            "telephone_number": "817-369-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BOUTIQUE OF HURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH-XUAN",
        "authorized_official_middle_name": "BUI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "504-615-2205",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dx dental, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taudrea Sinnie
• Kamlesh J. Sisodiya, M.D.
• Siva Assisted Living Services LTD Co
• Leslie Skaggs, RN, AGNP-BC
• Skin Surgery Center, PA
• Allyson Smith, NP
• Debra R Smith, FNP
• Eddie Smith
• Jessica Smith, RBT. BBA
• Megan Smith, DO

• Dentist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.