NPIMap

Organization Active NPI

B Kent Smith DDS PA

  • Customized Equipment (DME)
  • Mansfield, TX
National Provider Identifier
1780482968
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
B KENT SMITH DDS PA
Practice address
203 E Debbie LN
Mansfield, TX 76063-2924
Phone
(844) 409-4657
Fax
(214) 614-4277
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Nikeyia Braxton
Title
Director of Patient Advocacy
Phone
(844) 409-4657

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

203 E Debbie LN
Mansfield, TX 76063-2924

Mailing address

PO Box 50006
Denton, TX 76206-0006

Other practice location 1

1833 Cannon Dr
Mansfield, TX 76063-3482
Phone (844) 409-4657

Other names 1

  • Star Sleep and Wellness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812001222 TX DME Supplier - Oral Surgery - Dentist 3375713662 Practice locations: Mansfield, TX

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
B Kent Smith DDS PA12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1833 Cannon Dr
Mansfield, TX 76063
Phone (817) 477-4441

Practitioners & affiliated clinicians

Practitioners 1

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1780482968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50006",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632924",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 Cannon Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633482",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "B KENT SMITH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "NIKEYIA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ADVOCACY",
        "authorized_official_telephone_number": "844-409-4657"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Sleep and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.