Individual provider Active NPI

Steven Keith Britain, DDS

  • Periodontics
  • Fort Worth, TX
National Provider Identifier
1437207552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19028 Issued in TX
Practice address
4900 Overton Ridge Blvd
Suite 213
Fort Worth, TX 76132-1940
Phone
(817) 423-0138
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 19028 TX Primary

Addresses

Primary practice location

4900 Overton Ridge Blvd
Suite 213
Fort Worth, TX 76132-1940

Mailing address

4900 Overton Ridge Blvd
Suite 213
Fort Worth, TX 76132-1940
Phone (817) 423-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926001446 TX Order and Referring Only - DentistPractitioner - Dentist 3870880461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19028TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437207552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OVERTON RIDGE BLVD",
            "address_2": "SUITE 213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321940",
            "telephone_number": "817-423-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OVERTON RIDGE BLVD",
            "address_2": "SUITE 213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321940",
            "telephone_number": "817-423-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITAIN",
        "first_name": "STEVEN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.