Active NPI
Michaelangelo Dentistry PLLC
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1013230705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23341
- Legal business name
- MICHAELANGELO DENTISTRY PLLC
- Practice address
- 2417 Park Hill Dr # 119
Fort Worth, TX 76110-2240 - Phone
- (817) 926-9771
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Colangelo, DDS
- Title
- President
- Phone
- (817) 689-4284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23341 | TX | Primary |
Addresses
Primary practice location
2417 Park Hill Dr # 119
Fort Worth, TX 76110-2240
Mailing address
2417 Park Hill Dr # 119
Fort Worth, TX 76110-2240
National Provider Directory
National Provider DirectoryLocations
2417 Park Hill Dr
#119
Fort Worth, TX 76110
Phone (817) 926-9771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1396078416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268092800000",
"number": "1013230705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 PARK HILL DR # 119",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761102240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 PARK HILL DR # 119",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761102240",
"telephone_number": "817-926-9771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAELANGELO DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A",
"authorized_official_last_name": "COLANGELO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-689-4284",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Michael N Thompson
- Michael Nazarian Heart & Vascular
- Michael Nazarian MD, Associates
- Michael R. Jackson D.D.S., Inc.
- Sara C Michael, ARNP
- Grant Michalak, PA-C
- Serena Michalsky, MD
- Sally McIntyre Michaud, NNP-BC
- Michelle Harvey, PHD Clinical Health Psychology
- Stephen Christopher Michlin, D.C., B.C.A.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.