NPIMap

Organization Active NPI

Peppermint Dental

  • Dentist
  • Rowlett, TX
National Provider Identifier
1861641995
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEPPERMINT DENTAL
Practice address
5701 President George Bush Hwy Ste 140
Rowlett, TX 75089-3694
Phone
(214) 703-0703
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Mary Pu, PHARMD
Title
Regional Finance Officer
Phone
(817) 675-8753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5701 President George Bush Hwy Ste 140
Rowlett, TX 75089-3694

Mailing address

PO Box 734753
Dallas, TX 75373-4753
Phone (214) 703-0703

Other names 1

  • Peppermint Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5701 President George Bush Hwy
Ste 140
Rowlett, TX 75089
Phone (214) 703-0703

5701 Liberty Grove Rd
Ste 140
Rowlett, TX 75089
Phone (214) 703-0703

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1861641995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "214-703-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 PRESIDENT GEORGE BUSH HWY STE 140",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893694",
            "telephone_number": "214-703-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERMINT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "REGIONAL FINANCE OFFICER",
        "authorized_official_telephone_number": "817-675-8753",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peppermint Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.