Organization Active NPI

Trinity Pediatric Dentistry

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1245935030
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRINITY PEDIATRIC DENTISTRY
Practice address
4000 Bryant Irvin Rd Ste 208
Fort Worth, TX 76109-4153
Phone
(830) 822-9100
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Meghan Kylie Thorburn, DDSNPI 1255784690
Title
Pediatric Dentist
Phone
(469) 964-7347

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 NU Primary

Addresses

Primary practice location

4000 Bryant Irvin Rd Ste 208
Fort Worth, TX 76109-4153

Mailing address

4000 Bryant Irvin Rd Ste 208
Fort Worth, TX 76109-4153
Phone (469) 964-7347

National Provider Directory

National Provider Directory

Locations

4000 Bryant Irvin Rd
Ste 208
Fort Worth, TX 76109
Phone (830) 822-9100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1245935030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BRYANT IRVIN RD STE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094153",
            "telephone_number": "469-964-7347",
            "fax_number": "682-207-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BRYANT IRVIN RD STE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094153",
            "telephone_number": "830-822-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "THORBURN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "KYLIE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "469-964-7347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "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 Apr 3, 2023; 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.