Smile Ninja, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE NINJA, PLLC

Practice address

220 E Seminary Dr Ste 100
Fort Worth, TX 76115-2653

Phone

(817) 916-4431

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Stacey Mund

Title

Cfo

Phone

(817) 916-4431

Specialties & licenses 4

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fort Worth Smilebar PLLC

  dba Smile Ninja Dental

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1740813195
  NPPES parent name

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1871002261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152653",
            "telephone_number": "817-916-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152653",
            "telephone_number": "817-916-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE NINJA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "MUND",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-916-4431"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Ernesto Smart, M.D.
• Smartcarehub Texas LLC
• Michelle Smeller, MFT
• Laura E. Smelter, MD
• Smile Muse Dentistry PLLC (Smile Muse Spa)
• Smile Now Dental
• Smile Tree Dental PLLC
• Smile Workshop Fort Worth, PLLC (Ideal Dental Basswood)
• Smiles of Fort Worth, LLC
• Smileteampd PLLC

• 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 Aug 26, 2022; 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.