Eastchase Mighty PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EASTCHASE MIGHTY PLLC

Practice address

8430 East Fwy # 115
Fort Worth, TX 76120-4428

Phone

(214) 493-1216

Fax

(214) 242-2006

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Nina Abtahi

Title

Manger

Phone

(214) 493-1216

Specialties & licenses 1

Addresses

Other names 1

• Mighty Smiles Doing business as

Locations

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1821620121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 EAST FWY # 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204428",
            "telephone_number": "214-493-1216",
            "fax_number": "214-242-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 EAST FWY # 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204428",
            "telephone_number": "214-493-1216",
            "fax_number": "214-242-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTCHASE MIGHTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ABTAHI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "214-493-1216"
    },
    "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": "Mighty Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Earman
• Rylie Christian Earnest, DC
• Chelsea Easley, MD
• Robert Harlan Easley, CRNA
• Ashli East, M.ED., LPC
• Eastchase Texas Emergency Center, LLC
• Christie Eastep, RD, LD
• Easter Seals North Texas Inc.
• Jared Easterling, MD
• Larry E Easterling, MD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.