NPIMap

Organization Active NPI

Heartland Dental Care of Texas

Doing business as Smile Studio

  • Dentist
  • Longview, TX
National Provider Identifier
1881930196
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEARTLAND DENTAL CARE OF TEXAS
Doing business as
Smile Studio
Practice address
3010 H G Mosley Pkwy
Longview, TX 75605-2948
Phone
(903) 759-7196
NPI assigned
Dec 14, 2012
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Marie Kuhl
Title
Credentialing Manager
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

3010 H G Mosley Pkwy
Longview, TX 75605-2948

Mailing address

3010 H G Mosley Pkwy
Longview, TX 75605-2948
Phone (903) 759-7196

Other practice location 1

3010 H G Mosley Pkwy
Longview, TX 75605-2948
Phone (217) 540-5100 ext. 5146

Other names 1

  • Smile Studio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3010 H G Mosley Pkwy
Longview, TX 75605
Phone 2175405100 ext. 5146

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": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1881930196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052948",
            "telephone_number": "903-759-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052948",
            "telephone_number": "903-759-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052948",
            "country_code": "US",
            "telephone_number": "217-540-5100 x5146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF TEXAS",
        "enumeration_date": "2012-12-14",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.