Jade Catherine Carlson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36877 Issued in TX

Practice address

2925 Oak Park Cir Ste 100
Fort Worth, TX 76109-1867

Phone

(817) 732-5522

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jade Catherine Nix Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Drennan Family Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1396963062
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1255935359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091867",
            "telephone_number": "817-732-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091867",
            "telephone_number": "817-732-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JADE",
        "middle_name": "CATHERINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "NIX",
            "middle_name": "CATHERINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos G. Tello DDS Ms PA
• Alexandra Louise Carlson
• Carla Michelle Carlson, LVN
• Christy Y Carlson
• David K. Carlson, PSY.D.
• Mary L Carlson, MS, LPC
• Nancy Valerie Carlson
• Charles A Carlton, MD
• Joshua Carlton, DO
• Michael S. Carlton, FNP

• 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 Jul 9, 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.