Organization Active NPI

Smile by Smile PLLC

  • General Practice Dentistry
  • Duncanville, TX
National Provider Identifier
1255960100
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE BY SMILE PLLC
Practice address
901 E Hwy 67 Plaza
Ste B
Duncanville, TX 75137
Phone
(469) 209-6300
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Adenike Taiwo
Title
Owner
Phone
(469) 209-3600

Specialties & licenses 1

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

Addresses

Primary practice location

901 E Hwy 67 Plaza
Ste B
Duncanville, TX 75137

Mailing address

901 E Hwy 67 Plaza
Ste B
Duncanville, TX 75137

Other identifiers 1

IdentifierTypeStateIssuer
1245543438OtherTXNPPES

National Provider Directory

National Provider Directory

Locations

901 E Highway 67
Ste B
Duncanville, TX 75137
Phone (469) 209-6300

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1255960100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E HWY 67 PLAZA",
            "address_2": "STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E HWY 67 PLAZA",
            "address_2": "STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "469-209-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BY SMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-209-3600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1245543438",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

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