Novasmile Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NOVASMILE DENTAL PLLC

Practice address

2131 N Collins St Ste 415
Arlington, TX 76011-2811

Phone

(817) 801-1382

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Niosha Edalat, DDS

Title

President

Phone

(818) 876-2947

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niosha Vakilian, DDS

  • Dentist
  • Northridge, CA
  • NPI 1205291671

  General Practice

  NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1740844760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6772 PLAZA VIA",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393127",
            "telephone_number": "818-876-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N COLLINS ST STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112811",
            "telephone_number": "817-801-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASMILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "EDALAT",
        "authorized_official_first_name": "NIOSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-876-2947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Arlington, TX
• Providers in Arlington, 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 May 21, 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.