Organization Active NPI

Smart Mouth PLLC

  • Dental Clinic/Center
  • Waco, TX
National Provider Identifier
1902237381
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16801 Issued in TX
Legal business name
SMART MOUTH PLLC
Practice address
211 Old Hewitt Rd
Waco, TX 76712-6560
Phone
(254) 399-9000
Fax
(254) 399-9001
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. Amanda Rider Trotter, DDSNPI 1134118870
Title
Owner/Pediatric Dentist
Phone
(254) 399-9000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16801 TX Primary

Addresses

Primary practice location

211 Old Hewitt Rd
Waco, TX 76712-6560

Mailing address

3119 River Place Dr
Belton, TX 76513-1013
Phone (254) 933-9826

Other identifiers 1

IdentifierTypeStateIssuer
1134118870OtherTXINDIVIDUAL PROVIDER NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1902237381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 RIVER PLACE DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131013",
            "telephone_number": "254-933-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 OLD HEWITT RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126560",
            "telephone_number": "254-399-9000",
            "fax_number": "254-399-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RIDER",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "254-399-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1134118870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.