Organization Active NPI

Smile Builders Dental Center PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1891968624
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE BUILDERS DENTAL CENTER PC
Practice address
4807 Maple Ave
Suite 300
Dallas, TX 75219-1006
Phone
(214) 431-3727
Fax
(214) 260-6729
NPI assigned
Apr 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
James M Jernigan, D.D.S.
Title
President, Owner
Phone
(214) 431-3727

Specialties & licenses 1

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

Addresses

Primary practice location

4807 Maple Ave
Suite 300
Dallas, TX 75219-1006

Mailing address

4807 Maple Ave
Suite 300
Dallas, TX 75219-1006
Phone (214) 431-3727

Other names 1

  • Smile Builders Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1891968624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 MAPLE AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191006",
            "telephone_number": "214-431-3727",
            "fax_number": "214-260-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 MAPLE AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191006",
            "telephone_number": "214-431-3727",
            "fax_number": "214-260-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BUILDERS DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "214-431-3727",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Builders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.