Organization Active NPI

Freedom Mark Dental PA

Doing business as Westpark Dental Care

  • Dentist
  • Euless, TX
National Provider Identifier
1356686190
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FREEDOM MARK DENTAL PA
Doing business as
Westpark Dental Care
Practice address
2275 Westpark CT
Suite #101
Euless, TX 76040-3999
Phone
(817) 283-1205
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Joshua E. Foreman, D.D.S.NPI 1336310911
Title
Owner
Phone
(817) 283-1205

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 Primary

Addresses

Primary practice location

2275 Westpark CT
Suite #101
Euless, TX 76040-3999

Mailing address

2275 Westpark CT
Suite #101
Euless, TX 76040-3999
Phone (817) 283-1205

Other names 1

  • Westpark Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2275 Westpark Ct
Ste 101
Euless, TX 76040
Phone (817) 283-1205

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": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1356686190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT",
            "address_2": "SUITE #101",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403999",
            "telephone_number": "817-283-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT",
            "address_2": "SUITE #101",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403999",
            "telephone_number": "817-283-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MARK DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-283-1205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westpark Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.