Jamison Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21557 Issued in TX

Legal business name

JAMISON PEDIATRIC DENTISTRY PLLC

Doing business as

Fort Worth Children's Dentistry

Practice address

5521 Bellaire Dr S
Suite 210
Fort Worth, TX 76109-8838

Phone

(817) 569-6633

Fax

(817) 569-6636

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andrew M Jamison, D.D.S

Title

Doctor/Owner

Phone

(817) 569-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Worth Children's Dentistry Doing business as

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1194104505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761098838",
            "telephone_number": "817-569-6633",
            "fax_number": "817-569-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761098838",
            "telephone_number": "817-569-6633",
            "fax_number": "817-569-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-569-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913279-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Worth Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yenny Esther James, CD
• Albert W Jameson, LPC
• Jamie Singley, DDS, P.a. (Affordable Dentures & Implants - Fort Worth-North)
• Jamiek. Burton, DDS, P.a.
• Julie Jamieson, RDH
• Andrew M Jamison, DDS
• Nevaeh Jamison
• Patricia Barrett Jamison, ATC
• Stormy Jamison, BSN RN
• Jamorx Pharmacy Inc.,

• 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 May 21, 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.

Verify at the official NPI Registry.