Radiant LDP PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RADIANT LDP PLLC

Doing business as

Radiant Smiles Mid Cites

Practice address

458 Mid Cities Blvd
Hurst, TX 76054-2430

Phone

(817) 571-2100

Fax

(817) 519-8269

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Muaina, DMD

Title

Owner

Phone

(513) 633-4219

Specialties & licenses 1

Addresses

Other names 1

• Radiant Smiles Mid Cites Doing business as

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1316336282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-571-2100",
            "fax_number": "817-519-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-571-2100",
            "fax_number": "817-519-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LDP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "MUAINA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-633-4219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": "Radiant Smiles Mid Cites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PSG Mid-Cities Medical Center, LLC (Saint Camillus Medical Center)
• Psyched Health, PLLC
• Q and C Healthcare, Inc
• Emma Quigley, MS CCC SLP
• R and R Physical Therapy PLLC (Jeff Rau Physical Therapy)
• Farhana Rahman
• Adam Raiford, PTA
• Dina Ramirez, OTA
• Jeanie Stuart Rance-Marr, LMT, NCMMT
• Randall E Wonderlich DC (Wonderlich Chiropractic)

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.