Organization Active NPI

Mint Dentistry PLLC

Doing business as Hulen Mint Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1790338325
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MINT DENTISTRY PLLC
Doing business as
Hulen Mint Dentistry
Practice address
3901 West Fwy Ste 113
Fort Worth, TX 76107-5654
Phone
(214) 821-6468
Fax
(972) 893-8741
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Field Harrison
Title
Owner
Phone
(214) 821-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3901 West Fwy Ste 113
Fort Worth, TX 76107-5654

Mailing address

3201 W Airport Fwy Ste 102
Irving, TX 75062-5928
Phone (972) 893-8741

Other names 1

  • Hulen Mint Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mint Dentistry PLLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

3901 West Fwy
Ste 113
Fort Worth, TX 76107
Phone (817) 601-7474

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1790338325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FWY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625928",
            "telephone_number": "972-893-8741",
            "fax_number": "972-893-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 WEST FWY STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075654",
            "telephone_number": "214-821-6468",
            "fax_number": "972-893-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-821-6468"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hulen Mint Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.