NPIMap

Organization Active NPI

Alex Cammack DDS, PLLC

Doing business as Ross & Cammack Family Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1366214033
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEX CAMMACK DDS, PLLC
Doing business as
Ross & Cammack Family Dentistry
Practice address
4760 Barwick Dr Ste B
Fort Worth, TX 76132-1529
Phone
(817) 292-2555
NPI assigned
Oct 26, 2023
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Clay Alexander Cammack, DDSNPI 1568757151
Title
Owner
Phone
(817) 292-2555

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4760 Barwick Dr Ste B
Fort Worth, TX 76132-1529

Mailing address

4760 Barwick Dr Ste B
Fort Worth, TX 76132-1529
Phone (817) 292-2555

Other identifiers 1

IdentifierTypeStateIssuer
FC2771827OtherTXDA

Other names 1

  • Ross & Cammack Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4760 Barwick Dr
Ste B
Ft Worth, TX 76132
Phone (817) 292-2555

Practitioners & affiliated clinicians

Practitioners 3

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1366214033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321529",
            "telephone_number": "817-292-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321529",
            "telephone_number": "817-292-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX CAMMACK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DA",
            "identifier": "FC2771827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross & Cammack Family Dentistry",
            "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 Apr 4, 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.