Spearmint Kids and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPEARMINT KIDS AND ORTHODONTICS PLLC

Practice address

4111 Southwest Pkwy Suite #500
Wichita Falls, TX 76308

Phone

(940) 301-3669

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Jenny Garcia

Title

Lead of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• SPEARMINT KIDS AND ORTHODONTICS Doing business as

Locations

Practitioners 2

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

• James Lawrence Garrett

  • Dentist
  • Wichita Falls, TX
  • NPI 1265793582

  General Practice

  NPD
• Nirav Ribadiya, DMD

  • Dentist
  • Vernon, TX
  • NPI 1932838349

  General Practice

  NPD (past)

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1457004178",
    "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": "940-301-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 SOUTHWEST PKWY SUITE #500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-301-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARMINT KIDS AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "LEAD OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEARMINT KIDS AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sound Mind Counseling
• Macie Rose Southard, PTA
• Adriann Lee Sparks
• Sparrow Mental Health PLLC
• Spearmint Dental Wichita Falls PLLC
• David R Spencer, M.D.
• Michael W. Spiller Jr., D.D.S.
• Shelana Lynn Spitsnaugle, LVN
• Dawn P Sprague, LPC
• Wanda Ann Sprenger, PMH-NP

• General Practice Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.