Organization Active NPI

Irving Smile Center,PLLC

  • Dental Clinic/Center
  • Irving, TX
National Provider Identifier
1417677428
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IRVING SMILE CENTER,PLLC
Practice address
3000 N Macarthur Blvd Ste a
Irving, TX 75062-4493
Phone
(903) 330-6129
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mr. Sachin Kocharekar, DMD
Title
Member
Phone
(903) 330-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3000 N Macarthur Blvd Ste a
Irving, TX 75062-4493

Mailing address

1720 Granite Range LN
Arlington, TX 76005-1227
Phone (903) 330-6129

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL irvingdentalexcellence@gmail.com

National Provider Directory

National Provider Directory

Locations

3000 N MacArthur Blvd
Ste A
Irving, TX 75062
Phone (404) 512-0760

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1417677428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GRANITE RANGE LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051227",
            "telephone_number": "903-330-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N MACARTHUR BLVD STE A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624493",
            "telephone_number": "903-330-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING SMILE CENTER,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KOCHAREKAR",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-330-6129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "irvingdentalexcellence@gmail.com",
            "affiliation": "N",
            "address_1": "3000 N MacArthur Blvd Ste A",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750624493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.