Amy Jo Modrall, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21998 Issued in TX

Practice address

2310 Highway 157 N Ste 102
Mansfield, TX 76063-8845

Phone

(682) 688-7546

Fax

(682) 688-7546

NPI assigned

Jan 24, 2006

Last updated

Jan 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modrall Dentistry, PA

  • Dental Clinic/Center
  • Mansfield, TX
  • NPI 1114721909
  NPD Authorized official
• Forever Smiles, P.a.

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1770765679
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1740250539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638845",
            "telephone_number": "682-688-7546",
            "fax_number": "682-688-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638845",
            "telephone_number": "682-688-7546",
            "fax_number": "682-688-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODRALL",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Mitchell, RN, MSN, CPNP
• Brandi N Mizell, LMSW
• Shelese Moaning, LPC
• Modena Holdings, LLC (MediCall)
• Modrall Dentistry, PA
• Bryan Haney Molen, DPM
• Crystal Molina-Lomeli, BCBA
• Lilian Nyanganyi Momanyi, PHARMD
• Tyus D Momoh, DPT
• Milton Mono, RN

• General Practice Dentistry in Mansfield, TX
• Providers in Mansfield, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.