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1710158787 NPI number — PLANO MINYARDS SMILES, PLLC

NPI Number: 1710158787
Health Care Provider/Practitioner: PLANO MINYARDS SMILES, PLLC

Information about “1710158787” NPI (PLANO MINYARDS SMILES, PLLC) exists in 1710158787 in HTML format HTML  |  1710158787 in plain Text format TXT  |  1710158787 in PDF (Portable Document Format) PDF  |  1710158787 in an XML format XML  formats.

NPI Number : 1710158787 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710158787",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PLANO MINYARDS SMILES, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4901 LBJ FREEWAY",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75244-6158",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-429-9290",
    "MailingAddressFaxNumber": "469-429-9285",
    "FirstLinePracticeLocationAddress": "3320 AVENUE K",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75074-2306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-342-5757",
    "PracticeLocationAddressFaxNumber": "214-340-4868",
    "EnumerationDate": "03/18/2008",
    "LastUpdateDate": "02/16/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CODEL",
    "AuthorizedOfficialFirstName": "ADRIAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "214-342-5757",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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