Organization Active NPI

Sparkle Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garland, TX
National Provider Identifier
1316957434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20296 Issued in TX
Legal business name
SPARKLE ORTHODONTICS
Practice address
1815 Old Mill Run
Garland, TX 75042
Phone
(972) 205-9990
Fax
(972) 205-9990
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adejoke Fatunde, BDS MSNPI 1558494591
Title
Orthodontist
Phone
(972) 205-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20296 TX Primary

Addresses

Primary practice location

1815 Old Mill Run
Garland, TX 75042

Mailing address

1815 Old Mill Run
Garland, TX 75042
Phone (972) 205-9990

Other names 1

  • Smiley Orthodontics Former legal business name

National Provider Directory

National Provider Directory

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316957434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 OLD MILL RUN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-205-9990",
            "fax_number": "972-205-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD MILL RUN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-205-9990",
            "fax_number": "972-205-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATUNDE",
        "authorized_official_first_name": "ADEJOKE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "972-205-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiley Orthodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.