Active NPI
Fourth Dimension Orthodontics & Craniofacial Orthopedics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, TX
National Provider Identifier
1184946931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS
- Practice address
- 7777 Forest LN
Suite C-770
Dallas, TX 75230-2505 - Phone
- (972) 566-3100
- Fax
- (972) 566-3200
- NPI assigned
- Feb 22, 2010
- Last updated
- Mar 11, 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
- Dr. Deji V Fashemo, D.D.S., M.P.H.
- Title
- Doctor
- Phone
- (972) 566-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite C-770
Dallas, TX 75230-2505
Mailing address
7777 Forest LN
Suite C-770
Dallas, TX 75230-2505
Phone (972) 566-3100
National Provider Directory
National Provider Directory- Tax ID family
- Fourth Dimension Orthodontics Craniofacial Orthopedics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Corpus Christi, TX
- NPI 1295976082
Locations
7777 Forest Ln
Ste C770
Dallas, TX 75230
Phone (972) 566-3100
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, TX
- NPI 1457304412
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1174959167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1184946931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-770",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-3100",
"fax_number": "972-566-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-770",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-3100",
"fax_number": "972-566-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "FASHEMO",
"authorized_official_first_name": "DEJI",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "972-566-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.P.H."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Fountains Home Healthcare, Inc
- Four States Neuro Tech, PA
- Four-N Dental, PLLC (Lochwood Family Dental, Cooper Family Dental)
- Brooke Alexa Fourcade
- Hayley Fournier, PHD
- Kimber Lee Foust, MD
- Fowler Christian Apartments
- Stephanie Leann Fowler-Brookman, AUD, PHD
- Allison Fields Fowler, D.D.S.
- Christopher Lee Fowler, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.