NPIMap

Organization Active NPI

Bob Jing D.D.S P.a.

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1154628402
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOB JING D.D.S P.A.
Practice address
115 W Seminary Dr Ste 101
Fort Worth, TX 76115-2603
Phone
(817) 529-0855
Fax
(817) 529-0862
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mrs. Jill Jing
Title
Managing Partner
Phone
(214) 600-9862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

115 W Seminary Dr Ste 101
Fort Worth, TX 76115-2603

Mailing address

2925 Westminster Ave
Dallas, TX 75205-1508
Phone (214) 600-9862

Other names 1

  • 7 Day Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
7 Day Dental2 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

115 W Seminary Dr
Ste 101
Fort Worth, TX 76115
Phone (817) 405-0195

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1154628402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WESTMINSTER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051508",
            "telephone_number": "214-600-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SEMINARY DR STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152603",
            "telephone_number": "817-529-0855",
            "fax_number": "817-529-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB JING D.D.S P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "JING",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-600-9862",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7 Day Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2014; 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.