Mountain Smiles - Mansell PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUNTAIN SMILES - MANSELL PLLC

Practice address

8101 Thompson Rd
Northlake, TX 76247-6203

Phone

(940) 648-3384

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Geminez

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1730084377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 THOMPSON RD",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762476203",
            "telephone_number": "940-648-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 THOMPSON RD",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762476203",
            "telephone_number": "940-648-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - MANSELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "GEMINEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuj C. Singhal, M.D. PA
• Christine Martin
• Med Southwest, PLLC (MyEyeDr.)
• Michael J. Willenborg, M.D. PA
• Milestone Dental of Northlake PLLC (Ideal Dental of Northlake)
• Northlake Family Eyecare PLLC
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Centers)
• Orthopedic Associates of Flower Mound PLLC
• David Owen
• Smit Patel

• Dental Clinic/Center in Northlake, TX
• Providers in Northlake, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.