Ira Eugene Mims II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29332 Issued in TX

Practice address

1565 W Main St
#205
Lewisville, TX 75067-3394

Phone

(972) 436-0788

Fax

(972) 436-9188

NPI assigned

Aug 7, 2013

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiles and Beyond Dental

  dba Ira Mims DDS, PA

  • Dentist
  • Lewisville, TX
  • NPI 1174940761
  NPD (past) Authorized official

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1811329279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 W MAIN ST",
            "address_2": "STE 205",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673394",
            "telephone_number": "972-436-0788",
            "fax_number": "972-436-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W MAIN ST",
            "address_2": "#205",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673394",
            "telephone_number": "972-436-0788",
            "fax_number": "972-436-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "IRA",
        "middle_name": "EUGENE",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323777803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Sue Miller, NP
• Samantha Millican, OTR
• Michelle Rena Mills
• Michelle Renee Millward, M.A., F-AAA
• Holly Caroline Milner, M.S., CCC-SLP
• Yunji Min
• Minh Nhu Nguyen OD & Associates PC
• Minyard Food Stores Inc. (Sack 'n Save Pharmacy #223)
• Miracle Ear
• Miracle Home Health, Inc

• Dentist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.