NPIMap

Organization Active NPI

Texas Denture Clinic, PC

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1407195290
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
27147 Issued in TX
Legal business name
TEXAS DENTURE CLINIC, PC
Practice address
1414 Texas St
Fort Worth, TX 76102-3426
Phone
(817) 336-2121
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Gordon Clark Damon Jr., DDSNPI 1407145022
Title
President
Phone
(806) 584-7991

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
Dental Clinic/Center 261QD0000X 27147 TX Primary

Addresses

Primary practice location

1414 Texas St
Fort Worth, TX 76102-3426

Mailing address

1414 Texas St
Fort Worth, TX 76102-3426
Phone (817) 336-2121

National Provider Directory

National Provider Directory

Locations

1414 Texas St
Ft Worth, TX 76102
Phone (817) 336-2121

Practitioners & affiliated clinicians

Practitioners 3

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": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1407195290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 TEXAS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023426",
            "telephone_number": "817-336-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 TEXAS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023426",
            "telephone_number": "817-336-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTURE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-584-7991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27147",
            "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 13, 2013; 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.