Organization Active NPI

Grapevine Smiles PLLC

Doing business as DFW Smiles

  • General Practice Dentistry
  • Grapevine, TX
National Provider Identifier
1427645399
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAPEVINE SMILES PLLC
Doing business as
DFW Smiles
Practice address
2700 William D Tate Ave Ste 100
Grapevine, TX 76051-4346
Phone
(817) 281-3444
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Faith Gaskins
Title
Credentialing Director
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2700 William D Tate Ave Ste 100
Grapevine, TX 76051-4346

Mailing address

2700 William D Tate Ave Ste 100
Grapevine, TX 76051-4346
Phone (817) 281-3444

Other names 1

  • DFW Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2700 William D Tate Ave
Ste 100
Grapevine, TX 76051
Phone (817) 281-3444

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": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1427645399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WILLIAM D TATE AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514346",
            "telephone_number": "817-281-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WILLIAM D TATE AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514346",
            "telephone_number": "817-281-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "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": "DFW Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.