Organization Active NPI

Hurst City Family and Cosmetic Dentistry

  • Dentist
  • Hurst, TX
National Provider Identifier
1407256233
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25799 Issued in TX
Legal business name
HURST CITY FAMILY AND COSMETIC DENTISTRY
Practice address
331 W Harwood Rd Ste a
Hurst, TX 76054-3048
Phone
(817) 369-3290
Fax
(817) 369-3292
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Christian Umunna Nwokorie, DMD
Title
Ceo
Phone
(347) 439-8901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25799 TX Primary

Addresses

Primary practice location

331 W Harwood Rd Ste a
Hurst, TX 76054-3048

Mailing address

2100 Reeves Rd
Decatur, TX 76234-3855
Phone (940) 627-8400

Other identifiers 1

IdentifierTypeStateIssuer
215320712MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1407256233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 REEVES RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343855",
            "telephone_number": "940-627-8400",
            "fax_number": "940-627-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W HARWOOD RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543048",
            "telephone_number": "817-369-3290",
            "fax_number": "817-369-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURST CITY FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "UMUNNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-439-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215320712",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.