Active NPI
Kreating Smiles Dental Group
- Pediatric Dentistry
- Fort Worth, TX
National Provider Identifier
1447822309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- KREATING SMILES DENTAL GROUP
- Practice address
- 2921 Lackland Rd Ste 201
Fort Worth, TX 76116-4173 - Phone
- (817) 732-2821
- NPI assigned
- Jul 12, 2021
- 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
- Kristy Hong, DDS
- Title
- Owner
- Phone
- (832) 677-0946
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
2921 Lackland Rd Ste 201
Fort Worth, TX 76116-4173
Mailing address
2921 Lackland Rd Ste 201
Fort Worth, TX 76116-4173
Other names 1
- Kreating Smiles Dental
National Provider Directory
National Provider DirectoryLocations
2921 Lackland Rd
Ste 201
Fort Worth, TX 76116
Phone (817) 732-2821
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Fort Worth, TX
- NPI 1396740569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1447822309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 LACKLAND RD STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761164173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 LACKLAND RD STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761164173",
"telephone_number": "817-732-2821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KREATING SMILES DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "HONG",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-677-0946",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kreating Smiles Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.