Organization Active NPI

Richard D Yentis MD Faacp PA

  • Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1467559666
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D5333 Issued in TX
Legal business name
RICHARD D YENTIS MD FAACP PA
Practice address
4388 W Vickery Blvd
Ste 203
Fort Worth, TX 76107-6339
Phone
(817) 988-8426
Fax
(817) 336-7124
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Richard David Yentis, MD
Title
President
Phone
(817) 988-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X D5333 TX Primary

Addresses

Primary practice location

4388 W Vickery Blvd
Ste 203
Fort Worth, TX 76107-6339

Mailing address

2615 Simondale Dr
Fort Worth, TX 76109-1245
Phone (817) 926-6621

Other names 1

  • Richard Yentis MD Doing business as

National Provider Directory

National Provider Directory

Locations

4388 W Vickery Blvd
Ste 203
Fort Worth, TX 76107
Phone (817) 988-8426

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1467559666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SIMONDALE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091245",
            "telephone_number": "817-926-6621",
            "fax_number": "817-336-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 W VICKERY BLVD",
            "address_2": "STE 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076339",
            "telephone_number": "817-988-8426",
            "fax_number": "817-336-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D YENTIS MD FAACP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "YENTIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-988-8426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Yentis MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 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.

Verify at the official NPI Registry.