Organization Active NPI

Saivi Dental PLLC

Doing business as Signature Smiles

  • Dentist
  • Irving, TX
National Provider Identifier
1285005173
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24942 Issued in TX
Legal business name
SAIVI DENTAL PLLC
Doing business as
Signature Smiles
Practice address
3654 N Belt Line Rd
Irving, TX 75062-7805
Phone
(214) 307-4755
NPI assigned
Oct 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Naren Kumar Mikkilineni, DMD
Title
Owner/General Dentist
Phone
(305) 219-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24942 TX Primary

Addresses

Primary practice location

3654 N Belt Line Rd
Irving, TX 75062-7805

Mailing address

308 Vine St
Irving, TX 75039-2847
Phone (305) 219-1668

Other names 1

  • Signature Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3654 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-4755

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1285005173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VINE ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392847",
            "telephone_number": "305-219-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627805",
            "telephone_number": "214-307-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIVI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MIKKILINENI",
        "authorized_official_first_name": "NAREN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "305-219-1668",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.