Active NPI
Andrew M Jamison, DDS
- Pediatric Dentistry
- Fort Worth, TX
National Provider Identifier
1336230234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 21557
- Practice address
- 4200 Bryant Irvin Rd
Suite 129
Fort Worth, TX 76109-4287 - Phone
- (817) 569-6633
- Fax
- (817) 569-6636
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 21557 | TX | Primary |
Addresses
Primary practice location
4200 Bryant Irvin Rd
Suite 129
Fort Worth, TX 76109-4287
Mailing address
4200 Bryant Irvin Rd
Suite 129
Fort Worth, TX 76109
Phone (817) 569-6633
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 |
|---|---|---|---|
| 21557 | TX | MD | Psychologist |
Organizations & group practices 1
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.
-
dba Fort Worth Children's Dentistry
- Pediatric Dentistry
- Fort Worth, TX
- NPI 1194104505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336230234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 BRYANT IRVIN RD",
"address_2": "SUITE 129",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76109",
"telephone_number": "817-569-6633",
"fax_number": "817-569-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 BRYANT IRVIN RD",
"address_2": "SUITE 129",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094287",
"telephone_number": "817-569-6633",
"fax_number": "817-569-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "21557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Albert W Jameson, LPC
- Jamie Singley, DDS, P.a. (Affordable Dentures & Implants - Fort Worth-North)
- Jamiek. Burton, DDS, P.a.
- Julie Jamieson, RDH
- Jamison Pediatric Dentistry PLLC (Fort Worth Children's Dentistry)
- Nevaeh Jamison
- Patricia Barrett Jamison, ATC
- Stormy Jamison, BSN RN
- Jamorx Pharmacy Inc.,
- Jana & Rick Enlow (All Care Bone & Joint Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.