Individual provider Active NPI

Saranya Viyapon, DMD

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1376541185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TX19880 Issued in TX
Practice address
1401 W Berry St
Fort Worth, TX 76110-3814
Phone
(817) 921-9616
Fax
(817) 921-9599
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X TX19880 TX Primary

Addresses

Primary practice location

1401 W Berry St
Fort Worth, TX 76110-3814

Mailing address

1401 W Berry St
Fort Worth, TX 76110-3814
Phone (817) 921-9616

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

LicenseStateTypeSpecialty
TX19880TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Confi-Dental PA General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376541185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103814",
            "telephone_number": "817-921-9616",
            "fax_number": "817-921-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103814",
            "telephone_number": "817-921-9616",
            "fax_number": "817-921-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIYAPON",
        "first_name": "SARANYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "TX19880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.