Fort Worth Smile Studio P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT WORTH SMILE STUDIO P.L.L.C.

Practice address

6115 S Hulen St
Fort Worth, TX 76133-3403

Phone

(817) 236-9014

Fax

(817) 263-7081

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mario Miranda, D.D.SNPI 1669574570

Title

Dentist

Phone

(817) 263-9014

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Miranda, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1669574570
  NPD (past) Authorized official
• Regina C Miranda, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1295846335
  NPD (past)

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1922499482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333403",
            "telephone_number": "817-236-9014",
            "fax_number": "817-263-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333403",
            "telephone_number": "817-236-9014",
            "fax_number": "817-263-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH SMILE STUDIO P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-263-9014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Senior Care, LLC
• Fort Worth Senior Care, LLC
• Fort Worth Skilled Care, LLC
• Fort Worth Sleep Labs
• Fort Worth Sleep LLC
• Fort Worth Smilebar PLLC
• Fort Worth Snoring and Sleep Center LLC
• Fort Worth Speech and Lactation LLC
• Fort Worth Speech Therapy LLC
• Fort Worth Surgical Center LP

• 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 Feb 5, 2015; 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.