Organization Active NPI

Drennan Family Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1396963062
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRENNAN FAMILY DENTISTRY
Practice address
2925 Oak Park Circle
Suite 100
Fort Worth, TX 76109
Phone
(817) 732-5522
Fax
(817) 732-4991
NPI assigned
Apr 20, 2007
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Terry L Drenna, DDS, DDS
Title
Owner
Phone
(817) 732-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2925 Oak Park Circle
Suite 100
Fort Worth, TX 76109

Mailing address

2925 Oak Park Circle
Suite 100
Fort Worth, TX 76109
Phone (817) 732-5522

National Provider Directory

National Provider Directory

Locations

2925 Oak Park Cir
Ste 100
Ft Worth, TX 76109
Phone (817) 732-5522

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1396963062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIRCLE",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-732-5522",
            "fax_number": "817-732-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 OAK PARK CIRCLE",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-732-5522",
            "fax_number": "817-732-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRENNAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "DRENNA, DDS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-732-5522",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Feb 20, 2019; 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.