Active NPI
Tiffany C Ford, D.D.S.
- Dentist
- Fort Cavazos, TX
National Provider Identifier
1164783668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-024070
- Practice address
- USA Dentac Health Activity Fort Cavazos
36000 Shoemaker Lane Suite 1051
Fort Cavazos, TX 76544-5054 - Phone
- (254) 287-2705
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-024070 | OH | Primary |
Addresses
Primary practice location
USA Dentac Health Activity Fort Cavazos
36000 Shoemaker Lane Suite 1051
Fort Cavazos, TX 76544-5054
Mailing address
USA Dentac Health Activity Fort Cavazos
36000 Shoemaker Lane Suite 1051
Fort Cavazos, TX 76544
Phone (254) 287-2705
Other practice location 1
228 Beeman Pl
Fort Riley, KS 66442-7009
Phone (267) 975-8064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603002324 | OH | Order and Referring Only - Dentist | 4284950114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024070 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1164783668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAC HEALTH ACTIVITY FORT CAVAZOS",
"address_2": "36000 SHOEMAKER LANE SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA DENTAC HEALTH ACTIVITY FORT CAVAZOS",
"address_2": "36000 SHOEMAKER LANE SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "765445054",
"telephone_number": "254-287-2705"
}
],
"practiceLocations": [
{
"address_1": "228 Beeman Pl",
"address_purpose": "LOCATION",
"city": "Fort Riley",
"state": "KS",
"postal_code": "664427009",
"country_code": "US",
"telephone_number": "267-975-8064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "TIFFANY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2025-05-13",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-024070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.