Organization Active NPI

Silver Sage Family Dentistry, PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1184980237
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SILVER SAGE FAMILY DENTISTRY, PLLC
Practice address
6650 N Beach St
Ste. 111
Fort Worth, TX 76137-1801
Phone
(817) 757-4226
Fax
(817) 520-1704
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Scott Leune
Title
Owner
Phone
(817) 757-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

6650 N Beach St
Ste. 111
Fort Worth, TX 76137-1801

Mailing address

6650 N Beach St
Ste. 111
Fort Worth, TX 76137-1801
Phone (817) 757-4226

Other names 1

  • Silver Sage Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6650 N Beach St
Ste 111
Fort Worth, TX 76137
Phone (817) 520-1700

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1184980237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "address_2": "STE. 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-757-4226",
            "fax_number": "817-520-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "address_2": "STE. 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-757-4226",
            "fax_number": "817-520-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SAGE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "LEUNE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-757-4226"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Sage Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2012; 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.