Smiles of Fort Worth, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES OF FORT WORTH, LLC

Practice address

5601 Bridge St Ste 480
Fort Worth, TX 76112-2351

Phone

(817) 457-4078

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Jesus Alvarado

Title

Office Manager

Phone

(814) 457-4078

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Shelby Nelson, D.D.S., M.S.

  • Periodontics
  • Fort Worth, TX
  • NPI 1528290426
  NPD
• Jeff C Jenkins, DDS

  • General Practice Dentistry
  • Ft Worth, TX
  • NPI 1629122957
  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1750933115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4400",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028400",
            "telephone_number": "817-457-4078",
            "fax_number": "817-798-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 480",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122351",
            "telephone_number": "817-457-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-457-4078"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Muse Dentistry PLLC
• Smile Ninja, PLLC
• Smile Now Dental
• Smile Tree Dental PLLC
• Smile Workshop Fort Worth, PLLC
• Smileteampd PLLC
• Smiley Dental Ft Worth PLLC
• Smiley Dental Lubbock PLLC
• Smiley Dental McCart PLLC
• Smiley Dental-Camp Bowie PLLC

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Jul 15, 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.