Adrian Nitara McCoo, RDH, BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

15356 Issued in TX

Practice address

9200 White Settlement Rd
Fort Worth, TX 76108-2028

Phone

(817) 246-2721

Fax

(817) 246-0429

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Adrian Nitara Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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.

• Network Provider Associates, P.C.

  • Dentist
  • White Settlement, TX
  • NPI 1346326188
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1205066545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WHITE SETTLEMENT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082028",
            "telephone_number": "817-246-2721",
            "fax_number": "817-246-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WHITE SETTLEMENT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082028",
            "telephone_number": "817-246-2721",
            "fax_number": "817-246-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOO",
        "first_name": "ADRIAN",
        "middle_name": "NITARA",
        "name_prefix": "Mrs.",
        "credential": "RDH, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "15356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "FULLER",
            "middle_name": "NITARA",
            "prefix": "MRS.",
            "credential": "RDH, BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamy C. Black McCole, OT
• Shaterra McCollister, CPNP-PC
• Aaryn McComb, O.D.
• Bradley A. McConnell, D.D.S.
• Charlotte McConnell, OTR
• Kaitlyn McCord, LMSW
• Lauren Annaliese McCormack, DO
• Alison Maureen McCormick, MD
• Audra Leigh McCormick
• Krista McCormick, SLP

• Dental Hygienist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.