NPIMap

Organization Active NPI

David J.W. Sorokolit DDS

  • Dentist
  • Ft Worth, TX
National Provider Identifier
1447414362
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVID J.W. SOROKOLIT DDS
Practice address
1050 Fifth Ave Suite G
Ft Worth, TX 76104
Phone
(817) 332-9700
Fax
(817) 332-9768
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. David J.W. SorokolitNPI 1215998778
Title
Owner/ David J.W. Sorokolit
Phone
(817) 332-9700

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 Primary

Addresses

Primary practice location

1050 Fifth Ave Suite G
Ft Worth, TX 76104

Mailing address

1050 5TH Ave Ste G
Fort Worth, TX 76104-2903
Phone (817) 332-9700

National Provider Directory

National Provider Directory

Locations

1050 5th Ave
Ste G
Ft Worth, TX 76104
Phone (817) 332-9700

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1447414362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE STE G",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042903",
            "telephone_number": "817-332-9700",
            "fax_number": "817-332-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FIFTH AVE SUITE G",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-9700",
            "fax_number": "817-332-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J.W. SOROKOLIT DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SOROKOLIT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.W.",
        "authorized_official_title_or_position": "OWNER/ DAVID J.W. SOROKOLIT",
        "authorized_official_telephone_number": "817-332-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.