Organization Active NPI

Brown Family Dentistry

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1013382001
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BROWN FAMILY DENTISTRY
Practice address
4004 White Settlement Rd
Fort Worth, TX 76107-1162
Phone
(817) 625-1548
Fax
(817) 625-2712
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Connie R. Brown
Title
Director of Business Development
Phone
(817) 625-1548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4004 White Settlement Rd
Fort Worth, TX 76107-1162

Mailing address

4004 White Settlement Rd
Fort Worth, TX 76107-1162
Phone (817) 625-1548

National Provider Directory

National Provider Directory

Locations

4004 White Settlement Rd
Ft Worth, TX 76107
Phone (817) 625-1548

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1013382001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 WHITE SETTLEMENT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071162",
            "telephone_number": "817-625-1548",
            "fax_number": "817-625-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 WHITE SETTLEMENT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071162",
            "telephone_number": "817-625-1548",
            "fax_number": "817-625-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "817-625-1548"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 2, 2015; 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.