Fort Worth Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FORT WORTH PEDIATRIC DENTISTRY

Practice address

6210 John Ryan Dr
Ste 100
Fort Worth, TX 76132-4113

Phone

(817) 292-5140

NPI assigned

Aug 3, 2006

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janell Irene Plocheck, D.D.S.NPI 1992713556

Title

Owner

Phone

(817) 292-5140

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janell Irene Plocheck, D.D.S.

  • Pediatric Dentistry
  • Fort Worth, TX
  • NPI 1992713556
  NPD (past) Authorized official
• Bruce Henry Weiner, D.D.S.

  • Pediatric Dentistry
  • Fort Worth, TX
  • NPI 1366450900
  NPD (past)
• Nathan Gary West, DMD

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1184868960
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1184632754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113",
            "telephone_number": "817-292-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113",
            "telephone_number": "817-292-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "PLOCHECK",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Nursing & Rehabilitation Center
• Fort Worth Occmed, LLC (Occupational Health Solutions)
• Fort Worth Orthopedic Surgery & Sports Medicine, P.a.
• Fort Worth Osteopathc Hospital, Inc. (Osteopathic Medical Center of Texas)
• Fort Worth Pain Management Center LLC
• Fort Worth Pediatric Therapy PLLC
• Fort Worth Pediatrics
• Fort Worth Pediatrics
• Fort Worth Pediatrics
• Fort Worth Pediatrics

• Pediatric Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.