Healthy Smiles of Irving PC

Primary specialty

DentistTaxonomy code 122300000X

License

21451 Issued in TX

Legal business name

HEALTHY SMILES OF IRVING PC

Practice address

3204 N Macarthur Blvd Ste C
Irving, TX 75062-8804

Phone

(972) 258-6462

Fax

(972) 258-6477

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly D Harper, DDS

Title

President

Phone

(972) 258-6462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1659489185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 N MACARTHUR BLVD STE C",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628804",
            "telephone_number": "972-258-6462",
            "fax_number": "972-258-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N MACARTHUR BLVD STE C",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628804",
            "telephone_number": "972-258-6462",
            "fax_number": "972-258-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF IRVING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-258-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.