Active NPI
Archstone Dental-Weatherford PLLC
- Dentist
- Weatherford, TX
National Provider Identifier
1174846711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ARCHSTONE DENTAL-WEATHERFORD PLLC
- Doing business as
- Archstone Dental & Orthodontics
- Practice address
- 325 Adams Dr Ste 335
Weatherford, TX 76086-6742 - Phone
- (972) 869-3789
- Fax
- (972) 869-3791
- NPI assigned
- Mar 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Pu, PHARMD
- Title
- Cfo
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
325 Adams Dr Ste 335
Weatherford, TX 76086-6742
Mailing address
PO Box 734753
Dallas, TX 75373-4753
Phone (972) 869-3789
Other names 1
- Archstone Dental & Orthodontics
National Provider Directory
National Provider DirectoryLocations
325 Adams Dr
Ste 335
Weatherford, TX 76086
Phone (682) 803-2003
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Weatherford, TX
- NPI 1114331113
-
- General Practice Dentistry
- Lenoir, NC
- NPI 1841504818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1174846711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734753",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734753",
"telephone_number": "972-869-3789",
"fax_number": "972-509-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ADAMS DR STE 335",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760866742",
"telephone_number": "972-869-3789",
"fax_number": "972-869-3791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCHSTONE DENTAL-WEATHERFORD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "PU",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-869-3789",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Archstone Dental & Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.