Organization Active NPI

Smile Brite Dental & Orthodontics

  • General Practice Dentistry
  • Southlake, TX
National Provider Identifier
1285190777
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE BRITE DENTAL & ORTHODONTICS
Practice address
113 River Oaks Dr
Southlake, TX 76092-6793
Phone
(817) 751-1777
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Mrs. Johanna Reed
Title
Administrator
Phone
(609) 254-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

113 River Oaks Dr
Southlake, TX 76092-6793

Mailing address

113 River Oaks Dr
Southlake, TX 76092-6793
Phone (817) 751-1777

National Provider Directory

National Provider Directory

Locations

113 River Oaks Dr
Southlake, TX 76092
Phone (817) 337-4141

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1285190777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 RIVER OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926793",
            "telephone_number": "817-751-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RIVER OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926793",
            "telephone_number": "817-751-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BRITE DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-254-4211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.