Organization Active NPI

Tardy Orthodontics PC

Doing business as Smile Houzz

  • Pediatric Dentistry
  • North Richland Hills, TX
National Provider Identifier
1871118133
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TARDY ORTHODONTICS PC
Doing business as
Smile Houzz
Practice address
8805 North Tarrant Parkway
Suite 200
North Richland Hills, TX 76182
Phone
(817) 898-1400
Fax
(817) 453-8830
NPI assigned
Jun 12, 2020
Last updated
Jun 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TARDY ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Shelley R. TardyNPI 1588116305
Title
DDS
Phone
(817) 453-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

8805 North Tarrant Parkway
Suite 200
North Richland Hills, TX 76182

Mailing address

1220 Highway 287 N
Mansfield, TX 76063-4804
Phone (817) 453-8826

Other names 1

  • Smile Houzz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tardy Orthodontics PC2 organizations share this tax ID, including this one
Part of
Tardy Orthodontics PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8805 N Tarrant Pkwy
Ste 200
North Richland Hills, TX 76182
Phone (817) 898-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1871118133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HIGHWAY 287 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634804",
            "telephone_number": "817-453-8826",
            "fax_number": "817-453-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 NORTH TARRANT PARKWAY",
            "address_2": "SUITE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-898-1400",
            "fax_number": "817-453-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARDY ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARDY ORTHODONTICS",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "817-453-8826"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Houzz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.