Mini Joseph DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25154 Issued in TX

Legal business name

MINI JOSEPH DDS PLLC

Practice address

2977 South Precinct Line Road
Suite 213
Fort Worth, TX 76118-7611

Phone

(817) 595-9600

Fax

(817) 595-9600

NPI assigned

Jun 20, 2017

Last updated

Jun 20, 2017By 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. Mini Joseph, DDS

Title

Owner

Phone

(415) 307-4671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Sujeong Hong, DDS, PPLC

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1033393814
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1538689799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BEVERLY DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196367",
            "telephone_number": "972-878-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 SOUTH PRECINCT LINE ROAD",
            "address_2": "SUITE 213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187611",
            "telephone_number": "817-595-9600",
            "fax_number": "817-595-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI JOSEPH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-307-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Londyn Miner, PT
• Quantacia Miner, PHLEBOTOMIST
• Bryan Woei Ming, MD
• Danielle Marie Mings-McDaniel, LCSW
• Mini Apple Dental Enterprise PLLC
• Minimally Invasive Neurosurgery Neuromonitoring PLLC
• Minimally Invasive Surgery Specialist PLLC
• Meagan Minister, PMHNP
• Lauren Minke
• Minks Glamour Studio

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.