Organization Active NPI

Smiles for You, PLLC

  • General Practice Dentistry
  • Grapevine, TX
National Provider Identifier
1700085669
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21650 Issued in TX
Legal business name
SMILES FOR YOU, PLLC
Practice address
2350 Hall Johnson Road
Suite #105
Grapevine, TX 76051-6589
Phone
(817) 481-7300
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Maria Niveditajouvita Fernandes-Morais, D.M.D.
Title
Owner
Phone
(817) 681-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21650 TX Primary

Addresses

Primary practice location

2350 Hall Johnson Road
Suite #105
Grapevine, TX 76051-6589

Mailing address

2350 Hall Johnson Rd
Suite #105
Grapevine, TX 76051-6589
Phone (817) 681-7680

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XOtherTXNEW DENTAL OFFICE

National Provider Directory

National Provider Directory

Locations

2350 Hall Johnson Rd
Ste 105
Grapevine, TX 76051
Phone (817) 481-7300

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1700085669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HALL JOHNSON RD",
            "address_2": "SUITE #105",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516589",
            "telephone_number": "817-681-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HALL JOHNSON ROAD",
            "address_2": "SUITE #105",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516589",
            "telephone_number": "817-481-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR YOU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDES-MORAIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "NIVEDITAJOUVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-681-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DENTAL OFFICE",
            "identifier": "1223G0001X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.