NPIMap

Organization Active NPI

Tardy Orthodontics PC

Doing business as Smile Houzz

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, TX
National Provider Identifier
1770680829
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
016400 Issued in TX
Legal business name
TARDY ORTHODONTICS PC
Doing business as
Smile Houzz
Practice address
1220 Hwy 287 North
Mansfield, TX 76063
Phone
(817) 453-8826
Fax
(817) 453-8830
NPI assigned
Sep 20, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TARDY ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Shelley Renee Tardy, DDS MSDNPI 1588116305
Title
President
Phone
(817) 453-8826

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 016400 TX Primary

Addresses

Primary practice location

1220 Hwy 287 North
Mansfield, TX 76063

Mailing address

1220 Hwy 287 North
Mansfield, TX 76063
Phone (817) 453-8826

Other practice location 1

8805 North Tarrant Parkway
Suite 200
North Richland Hills, TX 76182-8461
Phone (817) 898-1400

Other names 1

  • Smile Houzz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tardy Orthodontics PC2 organizations share this tax ID, including this one
Part of
Tardy Orthodontics PC

Other organizations with this tax ID 1

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

Locations

1220 Highway 287 N
Mansfield, TX 76063
Phone (817) 453-8826

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1770680829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HWY 287 NORTH",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-8826",
            "fax_number": "817-453-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HWY 287 NORTH",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-8826",
            "fax_number": "817-453-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8805 North Tarrant Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828461",
            "country_code": "US",
            "telephone_number": "817-898-1400",
            "fax_number": "817-453-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TARDY ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARDY ORTHODONTICS PC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-453-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "016400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Houzz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Houzz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.