NPIMap

Organization Active NPI

Texas Denture Services, PLLC

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1285870386
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15013 Issued in TX
Legal business name
TEXAS DENTURE SERVICES, PLLC
Practice address
1414 Texas St
Fort Worth, TX 76102-3426
Phone
(817) 336-2121
NPI assigned
Dec 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Authorized official

Name
Jay W Baxley, DDS
Title
Owner / Dentist
Phone
(817) 336-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15013 TX Primary

Addresses

Primary practice location

1414 Texas St
Fort Worth, TX 76102-3426

Mailing address

1414 Texas St
Fort Worth, TX 76102-3426
Phone (817) 336-2121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1285870386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 TEXAS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023426",
            "telephone_number": "817-336-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 TEXAS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023426",
            "telephone_number": "817-336-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTURE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-20",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "BAXLEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "817-336-2121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15013",
            "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 Dec 20, 2008; 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.