Active NPI
Richard Wayne Townsley III, DDS
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1295935690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23271
- Practice address
- 3608 Altamesa Blvd
Fort Worth, TX 76133-5641 - Phone
- (817) 294-0877
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23271 | TX | Primary |
Addresses
Primary practice location
3608 Altamesa Blvd
Fort Worth, TX 76133-5641
Mailing address
1320 Shalimar Dr
Fort Worth, TX 76131-3376
Phone (817) 235-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184897001 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23271 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1295935690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 SHALIMAR DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761313376",
"telephone_number": "817-235-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 ALTAMESA BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335641",
"telephone_number": "817-294-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSLEY",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184897001",
"state": "TX"
}
],
"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 Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.