Organization Active NPI

Midway Crossing Smiles

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1982133609
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDWAY CROSSING SMILES
Practice address
12700 Midway Rd
Dallas, TX 75244-6301
Phone
(617) 771-2784
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dhaval Thakkar
Title
Member
Phone
(617) 771-2784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12700 Midway Rd
Dallas, TX 75244-6301

Mailing address

12903 Tamarack Bend LN
Humble, TX 77346-1569
Phone (617) 771-2784

National Provider Directory

National Provider Directory

Locations

12700 Midway Rd
Dallas, TX 75244

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1982133609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 TAMARACK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461569",
            "telephone_number": "617-771-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446301",
            "telephone_number": "617-771-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY CROSSING SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-771-2784"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.