NPIMap

Organization Active NPI

Forever Smiles, P.a.

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1770765679
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21744 Issued in TX
Legal business name
FOREVER SMILES, P.A.
Practice address
2310 Highway 157 N
Suite # 102
Mansfield, TX 76063-8844
Phone
(817) 477-2558
Fax
(817) 473-9900
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Yetunde O Abayomi, D.D.S.NPI 1992814776
Title
Co-Owner
Phone
(817) 477-2558

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21744 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21998 TX

Addresses

Primary practice location

2310 Highway 157 N
Suite # 102
Mansfield, TX 76063-8844

Mailing address

2310 Highway 157 N
Suite # 102
Mansfield, TX 76063-8844
Phone (817) 477-2558

National Provider Directory

National Provider Directory

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1770765679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N",
            "address_2": "SUITE # 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638844",
            "telephone_number": "817-477-2558",
            "fax_number": "817-473-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 157 N",
            "address_2": "SUITE # 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638844",
            "telephone_number": "817-477-2558",
            "fax_number": "817-473-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER SMILES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "ABAYOMI",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "817-477-2558",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21744",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2007; 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.