Organization Active NPI

Amerismiles Dental of Mesquite PLLC

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1992080378
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25949 Issued in TX
Legal business name
AMERISMILES DENTAL OF MESQUITE PLLC
Practice address
3600 Gus Thomasson Rd
Suite # 145
Mesquite, TX 75150-6200
Phone
(214) 827-1305
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Suman R Nalla, DMD
Title
President
Phone
(214) 827-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25949 TX Primary

Addresses

Primary practice location

3600 Gus Thomasson Rd
Suite # 145
Mesquite, TX 75150-6200

Mailing address

3600 Gus Thomasson Rd
Suite # 145
Mesquite, TX 75150-6200

Other names 1

  • Amerismiles Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1992080378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GUS THOMASSON RD",
            "address_2": "SUITE # 145",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GUS THOMASSON RD",
            "address_2": "SUITE # 145",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506200",
            "telephone_number": "214-827-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISMILES DENTAL OF MESQUITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "NALLA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-827-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerismiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.