Paul Douglas McAllister, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25042 Issued in TX

Practice address

6302 Meadowbrook Dr
Fort Worth, TX 76112-5162

Phone

(817) 446-0800

NPI assigned

Jan 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul McAllister Orthodontics, PC

  dba McAllister Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Omaha, NE
  • NPI 1679273437
  NPD Authorized official
• Edge-MD Holding PLLC

  dba Medico MD

  • Family Medicine Physician
  • Irving, TX
  • NPI 1285086397
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1316277601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 DELMONICO DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449561",
            "telephone_number": "817-741-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125162",
            "telephone_number": "817-446-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25042",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "6727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fomundam Newnton Mbuh, NP
• C Gordon McAdams, MD
• Freedom Antoinette McAdoo, M.DIV., BCC, CHW
• Alaine Gail McAfee, WHNP
• McAlister Dentistry, LLP (McAlister Dentistry)
• David Bruce McAlpine, M.D.
• Joe Daniel McAmis Jr., PMHNP
• Kaci Renee McAnally
• Margaret McAtee, RN, NP
• Ashley Tatum McAuley, LMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.