Organization Active NPI

Thomas J Readel DMD PLLC

Doing business as North Trinity Dental

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1316773450
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THOMAS J READEL DMD PLLC
Doing business as
North Trinity Dental
Practice address
508 W Northside Dr
Fort Worth, TX 76164-9157
Phone
(817) 625-0341
Fax
(817) 625-1211
NPI assigned
Sep 13, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Thomas Readel, DMDNPI 1689074783
Title
Managing Member
Phone
(206) 775-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

508 W Northside Dr
Fort Worth, TX 76164-9157

Mailing address

508 W Northside Dr
Fort Worth, TX 76164-9157
Phone (817) 625-0341

Other names 1

  • North Trinity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

508 W Northside Dr
Fort Worth, TX 76164
Phone (817) 625-0341

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1316773450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W NORTHSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649157",
            "telephone_number": "817-625-0341",
            "fax_number": "817-625-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W NORTHSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649157",
            "telephone_number": "817-625-0341",
            "fax_number": "817-625-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J READEL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "READEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-775-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Trinity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 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.