Active NPI
Smileup Dentistry - Irving PLLC
- Dentist
- Irving, TX
National Provider Identifier
1922764489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILEUP DENTISTRY - IRVING PLLC
- Practice address
- 1425 N O Connor Rd
Irving, TX 75061-4654 - Phone
- (214) 571-7264
- NPI assigned
- Nov 9, 2021
- 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
- Anne Demmy
- Title
- Credentialing Specialist
- Phone
- (919) 998-0996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1425 N O Connor Rd
Irving, TX 75061-4654
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
National Provider Directory
National Provider DirectoryLocations
1425 N O Connor Rd
Irving, TX 75061
Phone (214) 571-7264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1922764489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIVERWALK TER STE 250",
"city": "JENKS",
"state": "OK",
"postal_code": "740375619",
"telephone_number": "918-998-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N O CONNOR RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750614654",
"telephone_number": "214-571-7264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILEUP DENTISTRY - IRVING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "DEMMY",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "919-998-0996"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.