Active NPI
Smart Mouth PLLC
- Dental Clinic/Center
- Waco, TX
National Provider Identifier
1902237381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 16801
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amanda Rider Trotter, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134118870 | Other | TX | INDIVIDUAL PROVIDER NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Waco, TX
- NPI 1134118870
-
- Dentist
- Waco, TX
- NPI 1003229311
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.