Azteca Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AZTECA DENTAL PLLC

Practice address

4858 South Fwy
Fort Worth, TX 76115-3901

Phone

(817) 534-7325

Fax

(817) 534-4429

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hamid Jay Shafi, DDS

Title

Owner

Phone

(818) 419-5001

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1235455353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-534-7325",
            "fax_number": "817-534-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-534-7325",
            "fax_number": "817-534-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZTECA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-419-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azadi Health, PLLC
• Azar Medical Services PLLC
• Azarian Manor LLC
• Azhara Binte Azhar, M.D.
• Azleverse Neuromonitoring LLC
• B & D Customized Service Solutions LLC
• B & R Diagnostics LLC
• B J Rust Jr
• B J Wroten, M.D., P.a.
• B. Well Physical Therapy, PLLC

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.