Fort Worth Sleep LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

15049 Issued in TX

Legal business name

FORT WORTH SLEEP LLC

Practice address

6025 Harris Pkwy
Fort Worth, TX 76132-4103

Phone

(817) 361-5620

Fax

(817) 361-7060

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Hutchison, DDSNPI 1679686141

Title

Owner

Phone

(682) 429-6339

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifford Ross Hutchison Jr., D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1679686141
  NPD (past) Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1225405384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-361-5620",
            "fax_number": "817-361-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-361-5620",
            "fax_number": "817-361-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-429-6339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15049",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "15049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Rehab Group
• Fort Worth Senior Care, LLC
• Fort Worth Senior Care, LLC
• Fort Worth Skilled Care, LLC
• Fort Worth Sleep Labs
• Fort Worth Smile Studio P.L.L.C.
• Fort Worth Smilebar PLLC
• Fort Worth Snoring and Sleep Center LLC
• Fort Worth Speech and Lactation LLC
• Fort Worth Speech Therapy LLC

• Customized Equipment (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.