Jacksboro Smiles by Wire, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JACKSBORO SMILES BY WIRE, PLLC

Doing business as

All Smiles Dental & Orthodontics

Practice address

2480 Jacksboro Hwy
Fort Worth, TX 76114-2201

Phone

(817) 529-0994

NPI assigned

Oct 23, 2008

Last updated

Feb 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adrian Codel, DDS

Title

Owner

Phone

(214) 342-5757

Specialties & licenses 1

Addresses

Other names 1

• All Smiles Dental & Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1528211406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LBJ FREEWAY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446158",
            "telephone_number": "214-342-5757",
            "fax_number": "214-389-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 JACKSBORO HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761142201",
            "telephone_number": "817-529-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSBORO SMILES BY WIRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CODEL",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-342-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayden O Jack, M.D.
• Lauren Michelle Jack, M.S., CCC-SLP
• Reginald Jack
• Jamie Jackman, MS CNIM
• Sarah Jacks, LPC
• Ahrielle Jackson
• Alysa Michele Jackson, MSW
• Ashli Brooke Jackson, RN
• Breaunnah Bloomer Jackson, MD
• Bree Jackson, BCBA

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.