Active NPI
A Smile for Life PLLC
- Pediatric Dentistry
- Dallas, TX
National Provider Identifier
1447797188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13529
- Legal business name
- A SMILE FOR LIFE PLLC
- Practice address
- 324 Medallion Ctr
Dallas, TX 75214-1580 - Phone
- (325) 374-7777
- NPI assigned
- Jan 19, 2017
- Last updated
- Mar 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Bradley Brown, D.D.S. M.S.D.
- Title
- Owner
- Phone
- (325) 374-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13529 | TX | Primary |
Addresses
Primary practice location
324 Medallion Ctr
Dallas, TX 75214-1580
Mailing address
9616 Webb Chapel Rd
Dallas, TX 75220-4940
Phone (325) 374-7777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1447797188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9616 WEBB CHAPEL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752204940",
"telephone_number": "325-374-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MEDALLION CTR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752141580",
"telephone_number": "325-374-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A SMILE FOR LIFE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-374-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S. M.S.D."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "13529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.