Active NPI
Smiles for You, PLLC
- General Practice Dentistry
- Grapevine, TX
National Provider Identifier
1700085669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21650
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Other | TX | NEW DENTAL OFFICE |
National Provider Directory
National Provider DirectoryLocations
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.