Organization Active NPI

White Settlement Family Dentistry, PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1255606398
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25808 Issued in TX
Legal business name
WHITE SETTLEMENT FAMILY DENTISTRY, PLLC
Doing business as
White Settlement Family Dentistry
Practice address
9636 Bartlett Cir
Fort Worth, TX 76108-4454
Phone
(817) 500-9133
Fax
(817) 529-0530
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Jeromy Thornton, DDS
Title
Owner
Phone
(817) 500-9133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25808 TX Primary

Addresses

Primary practice location

9636 Bartlett Cir
Fort Worth, TX 76108-4454

Mailing address

9636 Bartlett Cir
Fort Worth, TX 76108-4454
Phone (817) 500-9133

Other names 1

  • White Settlement Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1255606398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 BARTLETT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084454",
            "telephone_number": "817-500-9133",
            "fax_number": "817-529-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 BARTLETT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084454",
            "telephone_number": "817-500-9133",
            "fax_number": "817-529-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SETTLEMENT FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-500-9133",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Settlement Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 2012; 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.