Organization Active NPI

Sycamore School PLLC

  • Pediatric Dentistry
  • Fort Worth, TX
National Provider Identifier
1033686308
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SYCAMORE SCHOOL PLLC
Practice address
3050 Sycamore School Rd
Fort Worth, TX 76133-7771
Phone
(817) 732-9341
NPI assigned
Oct 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Justin Warcup, DDS
Title
Owner
Phone
(817) 732-9341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3050 Sycamore School Rd
Fort Worth, TX 76133-7771

Mailing address

3550 Hulen St Ste C
Fort Worth, TX 76107-6885
Phone (817) 732-9341

National Provider Directory

National Provider Directory

Locations

3550 Hulen St
Ste C
Fort Worth, TX 76107
Phone (817) 476-3503

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1033686308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 HULEN ST STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076885",
            "telephone_number": "817-732-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SYCAMORE SCHOOL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337771",
            "telephone_number": "817-732-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE SCHOOL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "WARCUP",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-732-9341",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "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 Sep 19, 2023; 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.