Organization Active NPI

Mr Dentist LLC

  • Dentist
  • Hurst, TX
National Provider Identifier
1952006801
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MR DENTIST LLC
Practice address
615 W Harwood Rd Ste a
Hurst, TX 76054-3106
Phone
(817) 510-3631
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Michael Plonski, DDSNPI 1275106809
Title
Owner Operator
Phone
(817) 510-3631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

615 W Harwood Rd Ste a
Hurst, TX 76054-3106

Mailing address

615 W Harwood Rd Ste a
Hurst, TX 76054-3106
Phone (817) 510-3631

National Provider Directory

National Provider Directory

Locations

615 W Harwood Rd
Ste A
Hurst, TX 76054
Phone (817) 510-3631

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1952006801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W HARWOOD RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543106",
            "telephone_number": "817-510-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W HARWOOD RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543106",
            "telephone_number": "817-510-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "PLONSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "817-510-3631",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.