Active NPI
Affordable Dentist Near Me of Mansfield PLLC
- Dentist
- Mansfield, TX
National Provider Identifier
1942017462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- AFFORDABLE DENTIST NEAR ME OF MANSFIELD PLLC
- Practice address
- 708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018 - Phone
- (713) 894-4059
- NPI assigned
- Dec 17, 2024
- 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
- Cintia Rodaway
- Title
- Manager
- Phone
- (903) 441-1558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018
Mailing address
708 Hunters Row CT Ste 102
Mansfield, TX 76063-4018
Other names 1
- Affordable Dentist Near Me of Mansfield
National Provider Directory
National Provider DirectoryLocations
708 Hunters Row Ct
Ste 102
Mansfield, TX 76063
Phone (713) 894-4059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1942017462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 HUNTERS ROW CT STE 102",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 HUNTERS ROW CT STE 102",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634018",
"telephone_number": "713-894-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE DENTIST NEAR ME OF MANSFIELD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "RODAWAY",
"authorized_official_first_name": "CINTIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "903-441-1558"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affordable Dentist Near Me of Mansfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.