Organization Active NPI

Navarro Orthodontics of Fortworth,

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fortworth, TX
National Provider Identifier
1093038333
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NAVARRO ORTHODONTICS OF FORTWORTH,
Practice address
233 NE 28TH St
Fortworth, TX 76164-7205
Phone
(817) 710-2480
Fax
(817) 710-2487
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Carlos F Navarro, D.D.S, M.S.D
Title
President
Phone
(214) 526-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

233 NE 28TH St
Fortworth, TX 76164-7205

Mailing address

4514 Cole Ave Ste 910
Dallas, TX 75205
Phone (214) 526-3363

Other identifiers 1

IdentifierTypeStateIssuer
210610601MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Navarro Orthodontics of Fortworth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

233 NE 28th St
Fort Worth, TX 76164
Phone (817) 710-2480

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1093038333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 910",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "214-526-3363",
            "fax_number": "214-520-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NE 28TH ST",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "761647205",
            "telephone_number": "817-710-2480",
            "fax_number": "817-710-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO ORTHODONTICS OF FORTWORTH,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-526-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210610601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortworth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.