Organization Active NPI

Flower Mound Dental Smiles PLLC

Doing business as Active Dental Flower Mound

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1235846783
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLOWER MOUND DENTAL SMILES PLLC
Doing business as
Active Dental Flower Mound
Practice address
1450 Long Prairie Rd
Ste 160
Flower Mound, TX 75028-7502
Phone
(972) 556-0600
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Kishan Patel
Title
Owner
Phone
(817) 456-9342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1450 Long Prairie Rd
Ste 160
Flower Mound, TX 75028-7502

Mailing address

1450 Long Prairie Rd
Ste 160
Flower Mound, TX 75028

Other names 1

  • Active Dental Flower Mound Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1235846783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 LONG PRAIRIE RD",
            "address_2": "STE 160",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 LONG PRAIRIE RD",
            "address_2": "STE 160",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287502",
            "telephone_number": "972-556-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER MOUND DENTAL SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-456-9342"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Dental Flower Mound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.