NPIMap

Organization Active NPI

Mint Dentistry, PLLC

Doing business as Grapevine Mint Dentistry

  • Dental Clinic/Center
  • Grapevine, TX
National Provider Identifier
1730552100
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MINT DENTISTRY, PLLC
Doing business as
Grapevine Mint Dentistry
Practice address
2805 E Grapevine Mills Cir
# 108
Grapevine, TX 76051-1210
Phone
(214) 821-6468
NPI assigned
Nov 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Field Harrison, DDS
Title
Ceo
Phone
(214) 821-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2805 E Grapevine Mills Cir
# 108
Grapevine, TX 76051-1210

Mailing address

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

Other names 1

  • Grapevine Mint Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mint Dentistry PLLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

2805 E Grapevine Mills Cir
#108
Grapevine, TX 76051

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1730552100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FREEWAY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-893-8730",
            "fax_number": "469-619-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 E GRAPEVINE MILLS CIR",
            "address_2": "# 108",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511210",
            "telephone_number": "214-821-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-821-6468",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Mint Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 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.