Active NPI
Midway Crossing Smiles
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1982133609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.