Individual provider Active NPI

Rhiannon Baxter Presley, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1285003228
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31153 Issued in TX
Practice address
750 W Bonds Ranch Rd Ste 100
Fort Worth, TX 76131-3912
Phone
(817) 242-5564
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31153 TX Primary

Addresses

Primary practice location

750 W Bonds Ranch Rd Ste 100
Fort Worth, TX 76131-3912

Mailing address

750 W Bonds Ranch Rd Ste 100
Fort Worth, TX 76131-3912
Phone (817) 242-5564

Other practice location 1

5710 Watauga Rd
Watauga, TX 76148-3022
Phone (817) 281-2061

Other names 1

  • Dr. Rhiannon Baxter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31153TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1285003228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W BONDS RANCH RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313912",
            "telephone_number": "817-242-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W BONDS RANCH RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313912",
            "telephone_number": "817-242-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Watauga Rd",
            "address_purpose": "LOCATION",
            "city": "Watauga",
            "state": "TX",
            "postal_code": "761483022",
            "country_code": "US",
            "telephone_number": "817-281-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "RHIANNON",
        "middle_name": "BAXTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHIANNON",
            "last_name": "BAXTER",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 19, 2022; 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.