NPIMap

Organization Active NPI

Smile Magic of Denton, PLLC

  • Dentist
  • Denton, TX
National Provider Identifier
1972839397
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE MAGIC OF DENTON, PLLC
Practice address
3600 E. McKinney St, Suite 190
Denton, TX 76209
Phone
(940) 387-2442
Fax
(340) 387-2444
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Everett Chad Evans, DDSNPI 1407930050
Title
Chief Dental Officer
Phone
(940) 808-1917

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

3600 E. McKinney St, Suite 190
Denton, TX 76209

Mailing address

PO Box 674330
Dallas, TX 75267
Phone (855) 697-6453

National Provider Directory

National Provider Directory

Locations

3600 E McKinney St
Ste 190
Denton, TX 76209
Phone (940) 220-7016

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1972839397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75267",
            "telephone_number": "855-697-6453",
            "fax_number": "855-731-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E. MCKINNEY ST, SUITE 190",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76209",
            "telephone_number": "940-387-2442",
            "fax_number": "340-387-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAGIC OF DENTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "940-808-1917",
        "authorized_official_name_prefix": "Dr.",
        "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 Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.