Country Day Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12997 Issued in TX

Legal business name

COUNTRY DAY DENTAL

Practice address

4255 Bryant Irvin Rd
Suite 111
Fort Worth, TX 76109-4233

Phone

(817) 731-9487

Fax

(817) 731-2846

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Scott McDonald, DDSNPI 1366434359

Title

Owner/Dentist

Phone

(817) 731-9487

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Scott McDonald, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1366434359
  NPD (past) Authorized official
• Alicia L Leblanc, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1992251458
  NPD (past)
• Ryan Michael Schmidgall, D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1407208911
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1003186495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "SUITE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-731-9487",
            "fax_number": "817-731-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "SUITE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-731-9487",
            "fax_number": "817-731-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY DAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "817-731-9487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Coultrip
• Carmen Council
• Counseling and Resource Endorsement, Inc.
• Counseling by Brooks PLLC
• Counseling Wellness Space
• Country Place Counseling, PLLC
• Jane A. Counts, PH.D.
• County of Tarrant (Tarrant County Public Health)
• County of Tarrant (Tarrant County Public Health)
• County of Tarrant (Tarrant County Public Health)

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.