Mint Leaf Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24956 Issued in TX

Legal business name

MINT LEAF DENTAL PLLC

Practice address

8544 S Hulen St
Fort Worth, TX 76123-2741

Phone

(443) 841-4772

NPI assigned

Oct 21, 2011

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Depal Parikh, D.D.S.NPI 1396078416

Title

Manager

Phone

(443) 841-4772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Depal Parikh, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1396078416
  NPD (past) Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1912283946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 MALABAR TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761234625",
            "telephone_number": "443-841-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232741",
            "telephone_number": "443-841-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT LEAF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "DEPAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-841-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Minshew, PA
• Kathryn Minski, DNP, APRN, AGACNP-BC
• Mint Dentistry PLLC (Hulen Mint Dentistry)
• Mint Dentistry, PLLC
• Mint Dentistry, PLLC
• Malik Minter, PT, DPT
• Ellis L Minton, MD
• Minyard Food Stores Inc. (Minyard Pharmacy #73)
• Minyard Food Stores Inc. (Carnival Pharmacy #120)
• Minyard Food Stores Inc. (Minyard Pharmacy #34)

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.