Active NPI
Flower Mound Dental Smiles PLLC
Doing business as Active Dental Flower Mound
- General Practice Dentistry
- Flower Mound, TX
National Provider Identifier
1235846783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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
- Flourish Birth & Wellness Center, PLLC
- Flower Mound Autumn Leaves, LP
- Flower Mound Chiropractic PLLC
- Flower Mound Chiropractic PLLC
- Flower Mound Counseling, PLLC
- Flower Mound Dentistry Divine
- Flower Mound Dermatology
- Flower Mound Emergency Care Center (First Choice Emergency Room)
- Flower Mound Endoscopy Center, LLC
- Flower Mound Eyecare Associates
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.