NPIMap

Organization Active NPI

Seminary Family Dental PLLC

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1003193038
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21968 Issued in TX
Legal business name
SEMINARY FAMILY DENTAL PLLC
Practice address
546 W Seminary Dr
Suite # C
Fort Worth, TX 76115-1361
Phone
(817) 924-0091
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Mita Desai, DDS
Title
Owner
Phone
(817) 924-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21968 TX Primary

Addresses

Primary practice location

546 W Seminary Dr
Suite # C
Fort Worth, TX 76115-1361

Mailing address

546 W Seminary Dr
Suite # C
Fort Worth, TX 76115-1361
Phone (817) 924-0091

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1003193038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W SEMINARY DR",
            "address_2": "SUITE # C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151361",
            "telephone_number": "817-924-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W SEMINARY DR",
            "address_2": "SUITE # C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151361",
            "telephone_number": "817-924-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINARY FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-924-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.