NPIMap

Organization Active NPI

Smile Magic of Lewisville, PLLC

  • Dentist
  • Lewisville, TX
National Provider Identifier
1750601548
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE MAGIC OF LEWISVILLE, PLLC
Practice address
2470 S Stemmons Fwy
Lewisville, TX 75067-8755
Phone
(940) 808-1940
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Everett EvansNPI 1407930050
Title
Manager
Phone
(940) 387-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2470 S Stemmons Fwy
Lewisville, TX 75067-8755

Mailing address

PO Box 674330
Dallas, TX 75267-4330
Phone (940) 808-1940

National Provider Directory

National Provider Directory

Locations

2470 S Stemmons Fwy
Lewisville, TX 75067
Phone (940) 808-1940

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1750601548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674330",
            "telephone_number": "940-808-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678755",
            "telephone_number": "940-808-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAGIC OF LEWISVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-387-2442",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.