Active NPI
Brent a. Spear DDS
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1184012676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRENT A. SPEAR DDS
- Practice address
- 2417 Park Hill Dr
Suite a
Fort Worth, TX 76110 - Phone
- (817) 920-1488
- Fax
- (817) 920-1499
- NPI assigned
- Jan 6, 2015
- 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
- Miss Stefanie Howard
- Title
- Office Manager
- Phone
- (817) 920-1488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2417 Park Hill Dr
Suite a
Fort Worth, TX 76110
Mailing address
2417 Park Hill Dr
Suite a
Fort Worth, TX 76110
Phone (817) 920-1488
National Provider Directory
National Provider DirectoryLocations
2417 Park Hill Dr
Ste A
Fort Worth, TX 76110
Phone (817) 927-8783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420502400000",
"number": "1184012676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 PARK HILL DR",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76110",
"telephone_number": "817-920-1488",
"fax_number": "817-920-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 PARK HILL DR",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76110",
"telephone_number": "817-920-1488",
"fax_number": "817-920-1499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENT A. SPEAR DDS",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "STEFANIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "817-920-1488",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"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 Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.