Archstone Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARCHSTONE DENTAL PLLC

Practice address

639 Sherry Lane
Fort Worth, TX 76116

Phone

(817) 737-7711

Fax

(817) 737-7712

NPI assigned

Feb 18, 2009

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Michael Mentesana, DDS

  • Periodontics
  • Richardson, TX
  • NPI 1245645175

  General Practice

  NPD (past)
• Paul Nicholas Shahwan, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1598084949
  NPD (past)
• Brian D Williams, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1710271457
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1245479013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "817-737-7711",
            "fax_number": "817-737-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SHERRY LANE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-737-7711",
            "fax_number": "817-737-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHSTONE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Archer, M.S., CCC-SLP
• Benjamin Paul Archer, D.D.S., FACS
• Archetype Psychotherapy, PA
• Victoria Kay Archibald, PA-C
• Ryan Neal Archie, MD
• Archstone Dental-Beach PLLC (Archstone Dental & Orthodontics)
• Archstone Dental-Hulen
• Samantha Arcuri
• Trina Elaine Ard, CCC-SLP
• Christy Ardis, LCSW

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.