Peppermint Dental-Lewisville PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PEPPERMINT DENTAL-LEWISVILLE PLLC

Doing business as

IO Dentistry

Practice address

1616 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6535

Phone

(214) 221-4867

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• IO Dentistry Doing business as

Locations

Practitioners 4

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

• Mauricio Dardano, DMD

  • General Practice Dentistry
  • Lewisville, TX
  • NPI 1467650747
  NPD (past)
• Martin Gonzalez, DDS

  • General Practice Dentistry
  • Lewisville, TX
  • NPI 1356660724
  NPD (past)
• Bryan Hassler

  • General Practice Dentistry
  • Lewisville, TX
  • NPI 1942436233
  NPD (past)
• Chris Steven Villanueva, DMD

  • Dentist
  • Lewisville, TX
  • NPI 1376613042
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1366713190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106535",
            "telephone_number": "214-221-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERMINT DENTAL-LEWISVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IO Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Pelser, LMSW
• Mohan Penmetcha, M.D.
• Jagneris Penson
• People First Pharmacy (People First Pharmacy LP)
• People First Pharmacy 2
• Yairis Perez Parodis, FNP-C
• Enrique A Perez, MD
• Luis Rafael Perez, DDS, PA
• Maerel Paloma Perez, P.T.
• Natalie Perez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.