Organization Active NPI

Dream Haven Extensions

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1023945136
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DREAM HAVEN EXTENSIONS
Practice address
4500 Mercantile Plaza Dr # 17147172
Fort Worth, TX 76137-4225
Phone
(214) 635-6412
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dream Haven Extensions
Title
Manager
Phone
(214) 635-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr # 17147172
Fort Worth, TX 76137-4225

Mailing address

4500 Mercantile Plaza Dr # 17147172
Fort Worth, TX 76137-4225
Phone (214) 635-6412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1023945136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR # 17147172",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374225",
            "telephone_number": "214-635-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR # 17147172",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374225",
            "telephone_number": "214-635-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM HAVEN EXTENSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "EXTENSIONS",
        "authorized_official_first_name": "DREAM",
        "authorized_official_middle_name": "HAVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-635-6412"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 May 5, 2026; 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.