Amy N Bender DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

19331 Issued in TX

Legal business name

AMY N BENDER DDS, PA

Practice address

2925 Oak Park Cir
#200
Fort Worth, TX 76109-1867

Phone

(817) 207-9700

Fax

(817) 920-9307

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amy N Bender, DDSNPI 1104262823

Title

Owner

Phone

(817) 207-9700

Specialties & licenses 1

Addresses

Other names 1

• Amy N Bender Former legal business name

Locations

Practitioners 1

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

• Amy N Bender, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1104262823
  NPD (past) Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124122213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIR",
            "address_2": "#200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091867",
            "telephone_number": "817-207-9700",
            "fax_number": "817-920-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIR",
            "address_2": "#200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091867",
            "telephone_number": "817-207-9700",
            "fax_number": "817-920-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY N BENDER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-207-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy N Bender",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist 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.