Dentists of Lake Worth PC

Primary specialty

DentistTaxonomy code 122300000X

License

12406 Issued in TX

Legal business name

DENTISTS OF LAKE WORTH PC

Practice address

6532 Lake Worth Blvd
Lake Worth, TX 76135-3002

Phone

(817) 778-0117

Fax

(817) 778-4041

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

John S Barnes

Title

Owner

Phone

(817) 778-0117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Duha Bayati

  • Dentist
  • Mooresville, NC
  • NPI 1598593113
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1154827764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353002",
            "telephone_number": "817-778-0117",
            "fax_number": "817-778-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF LAKE WORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-778-0117"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc.
• Rachael Kendra Dabelic, M.D.
• Nicole Ann Davault, OTR
• Gail Castillo Deguzman, DDS
• Denija Delic, LPC, NCC
• E. Dale Martin, D.D.S., M.S.D., P.C.
• Monica S Farias, MD
• Naima Garrett, MD
• Katherine Leigh Garza, PHARMD
• Austin Tanner Graham, BCBA

• Dentist in Lake Worth, TX
• Providers in Lake 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 25, 2022; 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.