Organization Active NPI

Access Orthodontics of Berry, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
National Provider Identifier
1134449663
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ACCESS ORTHODONTICS OF BERRY, P.A.
Practice address
4201 E Berry St
Suite #15
Fort Worth, TX 76105-5053
Phone
(817) 535-8200
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Anurag Patel, DMD
Title
Owner
Phone
(817) 535-8200

Specialties & licenses 1

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

Addresses

Primary practice location

4201 E Berry St
Suite #15
Fort Worth, TX 76105-5053

Mailing address

4201 E Berry St
Suite #15
Fort Worth, TX 76105-5053
Phone (817) 535-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1134449663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 E BERRY ST",
            "address_2": "SUITE #15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055053",
            "telephone_number": "817-535-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E BERRY ST",
            "address_2": "SUITE #15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055053",
            "telephone_number": "817-535-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ORTHODONTICS OF BERRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANURAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-535-8200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "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 Jun 7, 2010; 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.