NPIMap

Organization Active NPI

Basswood Family Dental PA

  • Dentist
  • Ft Worth, TX
National Provider Identifier
1346396371
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19297 Issued in TX
Legal business name
BASSWOOD FAMILY DENTAL PA
Practice address
5428 Basswood Blvd
Ft Worth, TX 76137
Phone
(817) 788-7700
Fax
(817) 281-0055
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Harveen Dhillon Hans, DDSNPI 1215295175
Title
Dentist
Phone
(817) 788-7700

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19297 TX Primary

Addresses

Primary practice location

5428 Basswood Blvd
Ft Worth, TX 76137

Mailing address

5428 Basswood Blvd
Ft Worth, TX 76137
Phone (817) 788-7700

National Provider Directory

National Provider Directory

Locations

5428 Basswood Blvd
Ft Worth, TX 76137
Phone (817) 788-7700

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1346396371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 BASSWOOD BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-788-7700",
            "fax_number": "817-281-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 BASSWOOD BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-788-7700",
            "fax_number": "817-281-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSWOOD FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "HARVEEN",
        "authorized_official_middle_name": "DHILLON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-788-7700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.