Smiles of DFW PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES OF DFW PLLC

Practice address

3550 E Broad St
Mansfield, TX 76063-6892

Phone

(201) 920-2457

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Rini Bavishi, DDSNPI 1326457052

Title

Doctor

Phone

(201) 920-2457

Specialties & licenses 1

Addresses

Other names 1

• 360 Dental Lounge Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rini Bavishi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
  • NPI 1326457052
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1831971605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAUREL VALLEY LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636892",
            "telephone_number": "201-920-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF DFW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BAVISHI",
        "authorized_official_first_name": "RINI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-920-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Dental Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry L Sixta, MD
• Amy Skipper, M.S. CCC-SLP
• Rachel Michelle Slack, LPC
• SLH Mansfield, LLC
• SMD Physical Therapy PLLC
• Smita Balaji Enterprise Inc
• Barbara Smith-Jordan, LPC, LCDC
• Alexa Smith, NP
• James Smith, DPT
• Kelsey Smith, DC

• Dental Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.