E.a. Mitchell D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11041 Issued in TX

Legal business name

E.A. MITCHELL D.D.S. INC.

Practice address

1511 E Berry St
Fort Worth, TX 76119-3005

Phone

(817) 924-7171

Fax

(817) 924-5171

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. E. A. Mitchell, D.D.S.

Title

President

Phone

(817) 924-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl Mitchell

  • Dentist
  • Fort Worth, TX
  • NPI 1013163476
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073722955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761193005",
            "telephone_number": "817-924-7171",
            "fax_number": "817-924-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761193005",
            "telephone_number": "817-924-7171",
            "fax_number": "817-924-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.A. MITCHELL D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-924-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew V Dzurik, MD
• Yvette B Dzurik, M.D.
• E & a Health Services
• E M Kouri DDS MSD PLLC
• E Scooters to Go LLC
• E.Q. Dental
• E.Scott Ferree, D.O., P.a.
• Eagle Mountain Ancillaries LLC
• Eagle Mountain Family Eye Care, PLLC
• Eagle Mountain-Saginaw Isd

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.