Mitchell Allen Conditt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14612 Issued in TX

Practice address

451 University Dr Ste 102
Fort Worth, TX 76107-2130

Phone

(817) 527-8500

Fax

(817) 527-8512

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fort Worth Snoring and Sleep Center LLC

  • Dentist
  • Fort Worth, TX
  • NPI 1205771128
  NPD (past) Authorized official
• Kelly Blair D.D.S., PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1699262493
  NPD (past)
• Mitch Conditt DDS PLLC

  • Dentist
  • Fort Worth, TX
  • NPI 1659784395
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1184648982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY DR STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072130",
            "telephone_number": "817-527-8500",
            "fax_number": "817-527-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY DR STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072130",
            "telephone_number": "817-527-8500",
            "fax_number": "817-527-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDITT",
        "first_name": "MITCHELL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Luzminda B Concepcion, MD
• Concergix, LLC
• Concierge Dermatology Management, LLC
• Zarahi Conde Garcia, RBT
• Linda Jean Cone, LCSW
• Confi-Dental PA
• Kiante Vaughn Conger, LMSW
• Allison Conklin, RDLD
• Alison Conlee, NP-C

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.