Organization Active NPI

380 Smiles PLLC

  • Dental Clinic/Center
  • Prosper, TX
National Provider Identifier
1629538814
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
380 SMILES PLLC
Practice address
4940 W. University Dr.
Suite 40
Prosper, TX 75078
Phone
(402) 650-7405
NPI assigned
Mar 22, 2019
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Vimal Patel, DDS
Title
Managing Member
Phone
(402) 650-7405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4940 W. University Dr.
Suite 40
Prosper, TX 75078

Mailing address

5355 Randwick TRL
Frisco, TX 75036-3996

National Provider Directory

National Provider Directory

Locations

4940 W University Dr
Ste 40
Prosper, TX 75078
Phone (214) 733-2107

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1629538814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 RANDWICK TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W. UNIVERSITY DR.",
            "address_2": "SUITE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "402-650-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "380 SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-650-7405",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.