Grapevine Kids PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRAPEVINE KIDS PLLC

Doing business as

Grapevine Kids Dental and Orthodontics

Practice address

1230 S Main St
Grapevine, TX 76051-5544

Phone

(972) 258-0758

NPI assigned

Jul 5, 2019

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lyle Matthew Schofield, DDSNPI 1538547344

Title

Managing Member

Phone

(469) 900-5371

Specialties & licenses 4

Addresses

Other names 1

• Grapevine Kids Dental and Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyle Matthew Schofield, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irving, TX
  • NPI 1538547344
  NPD Authorized official
• Matthew Thomas Lettre, D.D.S.

  • Pediatric Dentistry
  • Grapevine, TX
  • NPI 1053842195
  NPD

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1295397610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515544",
            "telephone_number": "817-909-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515544",
            "telephone_number": "972-258-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-900-5371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Kids Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grapevine Kids Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Grapevine Kidney Center LLC (Grapevine Regional Dialysis Center)
• Grapevine Pain Management, LLC
• Grapevine Pediatric Clinic, PA
• Grapevine Pharmacy, Inc
• Grapevine Radiology Associates
• Grapevine Rheumatology Clinic,LLC

• Dentist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.