Organization Active NPI

Mint Kids Dentistry, PLLC

  • Pediatric Dentistry
  • Duncanville, TX
National Provider Identifier
1720620909
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MINT KIDS DENTISTRY, PLLC
Practice address
406 E Camp Wisdom Rd
Duncanville, TX 75116-2708
Phone
(972) 349-6307
Fax
(972) 349-6307
NPI assigned
Oct 9, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Field HarrisonNPI 1962739961
Title
Owner
Phone
(214) 821-6468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

406 E Camp Wisdom Rd
Duncanville, TX 75116-2708

Mailing address

3201 W Airport Fwy Ste 102
Irving, TX 75062-5928
Phone (972) 893-8730

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1720620909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FWY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625928",
            "telephone_number": "972-893-8730",
            "fax_number": "972-893-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162708",
            "telephone_number": "972-349-6307",
            "fax_number": "972-349-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT KIDS DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-821-6468"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.