Organization Active NPI

The Smile Factory Dental & Orthodontics, PLLC

  • Dental Clinic/Center
  • Arlington, TX
National Provider Identifier
1568039840
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE SMILE FACTORY DENTAL & ORTHODONTICS, PLLC
Practice address
2628 Matlock Rd
Arlington, TX 76015-2525
Phone
(817) 617-2860
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Dr. Richard Malouf, DDS
Title
Manager
Phone
(469) 348-8870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2628 Matlock Rd
Arlington, TX 76015-2525

Mailing address

10061 Riverside Dr # 722
Toluca Lake, CA 91602-2560
Phone (469) 348-8870

Other practice location 1

18840 Sherman Way Ste A
Reseda, CA 91335-3974
Phone (323) 553-0495

National Provider Directory

National Provider Directory

Locations

18840 Sherman Way
Ste A
Reseda, CA 91335
Phone (323) 553-0495

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1568039840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR # 722",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560",
            "telephone_number": "469-348-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-617-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18840 Sherman Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913353974",
            "country_code": "US",
            "telephone_number": "323-553-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SMILE FACTORY DENTAL & ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-348-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.