Organization Active NPI

McCart Family Dentistry

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1407113814
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20698 Issued in TX
Legal business name
MCCART FAMILY DENTISTRY
Practice address
6801 McCart Ave Ste B2
Fort Worth, TX 76133-6368
Phone
(817) 423-9300
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Danita A BolinNPI 1447387741
Title
Owner/Dentist
Phone
(817) 423-9300

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 20698 TX Primary

Addresses

Primary practice location

6801 McCart Ave Ste B2
Fort Worth, TX 76133-6368

Mailing address

6801 McCart Ave Ste B2
Fort Worth, TX 76133-6368

Other identifiers 1

IdentifierTypeStateIssuer
152526310MedicaidTX

National Provider Directory

National Provider Directory

Locations

6801 McCart Ave
Ste B2
Fort Worth, TX 76133
Phone (817) 423-9300

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": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1407113814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE B2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE B2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336368",
            "telephone_number": "817-423-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCART FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "817-423-9300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152526310",
            "state": "TX"
        }
    ],
    "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 Apr 23, 2012; 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.