Fred L. Spradley, D.D.S., M.S.D., P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11859 Issued in TX

Legal business name

FRED L. SPRADLEY, D.D.S., M.S.D., P.A.

Practice address

4763 Barwick Dr
Suite 107
Fort Worth, TX 76132-1500

Phone

(817) 294-5021

Fax

(817) 294-9310

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred L. Spradley, D.D.S. AND M.S.D.

Title

President

Phone

(817) 294-5021

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Evan Perkins, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1447898093
  NPD (past)
• Frederick L Spradley, D.D.S. AND M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1538600382
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003938333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-5021",
            "fax_number": "817-294-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-5021",
            "fax_number": "817-294-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. SPRADLEY, D.D.S., M.S.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRADLEY",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-294-5021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.  AND M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teasha-Lee Ann Frattarelli, D.O.
• Sarah Fray, AU.D.
• Cyndi C Frazier, LPC
• Cynthia Frazier, LPC
• Garrett Michael Frazier, D.O.
• Stephanie Fredeking
• Nicole Lea Frederick, DNP, APRN,ACCNS-AG
• Kristin Jo Frederiksen, L.M.S.W.
• Fredric D Johnson MD PA
• Rhett Keyser Fredric, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.