Active NPI
Smileteampd PLLC
- Pediatric Dentistry
- Ft Worth, TX
National Provider Identifier
1386494847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SMILETEAMPD PLLC
- Practice address
- 3550 Hulen St Ste 110
Ft Worth, TX 76107-6808 - Phone
- (682) 207-6401
- NPI assigned
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Warcup
- Title
- Owner
- Phone
- (817) 709-4225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
3550 Hulen St Ste 110
Ft Worth, TX 76107-6808
Mailing address
3550 Hulen St Ste 110
Ft Worth, TX 76107-6808
National Provider Directory
National Provider DirectoryLocations
3550 Hulen St
Ste 110
Ft Worth, TX 76107
Phone (682) 207-6401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Buffalo, NY
- NPI 1639498843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1386494847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 HULEN ST STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761076808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 HULEN ST STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761076808",
"telephone_number": "682-207-6401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILETEAMPD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "WARCUP",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-709-4225",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"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 Apr 10, 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.