Organization Active NPI

Michaelangelo Dentistry PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1013230705
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23341 Issued in TX
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

Updated by the provider on Mar 9, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.