Organization Active NPI

SKDR

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1235952508
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SKDR
Practice address
2700 Western Center Blvd Ste 128
Fort Worth, TX 76131-4300
Phone
(817) 367-9333
Fax
(817) 259-0052
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Devarshee Patel, DDSNPI 1255825766
Title
DDS/ Owner
Phone
(817) 367-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2700 Western Center Blvd Ste 128
Fort Worth, TX 76131-4300

Mailing address

2700 Western Center Blvd Ste 128
Fort Worth, TX 76131-4300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1235952508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300",
            "telephone_number": "817-367-9333",
            "fax_number": "817-259-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKDR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEVARSHEE",
        "authorized_official_title_or_position": "DDS/ OWNER",
        "authorized_official_telephone_number": "817-367-9333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.