Organization Active NPI

Brown Mobile Dental PA

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1104288372
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15773 Issued in TX
Legal business name
BROWN MOBILE DENTAL PA
Practice address
8008 Camp Bowie W Blvd, Ste 101
Fort Worth, TX 76116
Phone
(817) 335-5555
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. William Steven Brown, DDS
Title
President/Principal
Phone
(817) 335-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15773 TX Primary

Addresses

Primary practice location

8008 Camp Bowie W Blvd, Ste 101
Fort Worth, TX 76116

Mailing address

8008 Camp Bowie W Blvd, Ste 101
Fort Worth, TX 76116

National Provider Directory

National Provider Directory

Locations

8008 Camp Bowie West Blvd
Ste 101
Fort Worth, TX 76116
Phone (817) 335-5555

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1104288372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 CAMP BOWIE W BLVD, STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 CAMP BOWIE W BLVD, STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-335-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN MOBILE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/PRINCIPAL",
        "authorized_official_telephone_number": "817-335-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15773",
            "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 Mar 25, 2016; 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.