Active NPI
Bridget Durell McAnthony, DDS
- Pediatric Dentistry
- Keller, TX
National Provider Identifier
1205974813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 17903
- Practice address
- 5332 N Tarrant Pkwy
Keller, TX 76248-6293 - Phone
- (817) 788-9500
- Fax
- (817) 520-1556
- NPI assigned
- Feb 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 17903 | TX | Primary |
Addresses
Primary practice location
5332 N Tarrant Pkwy
Keller, TX 76248-6293
Mailing address
PO Box 162074
Fort Worth, TX 76161-2074
Phone (817) 788-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17903 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205974813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162074",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761612074",
"telephone_number": "817-788-9500",
"fax_number": "817-520-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5332 N TARRANT PKWY",
"city": "KELLER",
"state": "TX",
"postal_code": "762486293",
"telephone_number": "817-788-9500",
"fax_number": "817-520-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANTHONY",
"first_name": "BRIDGET",
"middle_name": "DURELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "17903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.