Organization Active NPI

Affordable Dentist Near Me of Mansfield PLLC

  • Dentist
  • Mansfield, TX
National Provider Identifier
1942017462
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Dec 17, 2024

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.