Active NPI
Mountain Smiles - Springtown PLLC
- General Practice Dentistry
- Springtown, TX
National Provider Identifier
1497651475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOUNTAIN SMILES - SPRINGTOWN PLLC
- Practice address
- 917 E Highway 199
Springtown, TX 76082-6039 - Phone
- (817) 752-3938
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- 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
- Angel Gimenez
- Title
- Credentialing Manager
- Phone
- (719) 300-5933
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU |
Addresses
Primary practice location
917 E Highway 199
Springtown, TX 76082-6039
Mailing address
917 E Highway 199
Springtown, TX 76082-6039
Phone (817) 752-3938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1497651475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 E HIGHWAY 199",
"city": "SPRINGTOWN",
"state": "TX",
"postal_code": "760826039",
"telephone_number": "817-752-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 E HIGHWAY 199",
"city": "SPRINGTOWN",
"state": "TX",
"postal_code": "760826039",
"telephone_number": "817-752-3938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN SMILES - SPRINGTOWN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "GIMENEZ",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "719-300-5933"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springtown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.