Active NPI
McCart Family Dentistry
- Dentist
- Fort Worth, TX
National Provider Identifier
1407113814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20698
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danita A Bolin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152526310 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1447387741
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.