Summer Creek Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

22952 Issued in TX

Legal business name

SUMMER CREEK DENTISTRY PC

Practice address

7841 Summer Creek Dr
Fort Worth, TX 76123

Phone

(682) 438-1288

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jasmine Coleman, DDS

Title

Owner

Phone

(682) 438-1288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Coleman King

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1558420521
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1477955912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 SUMMER CREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 SUMMER CREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "682-438-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER CREEK DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-438-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sullivan, D.O.
• Rebecca Sullivan
• Rebecca Jeanne Sullivan, CPNP
• Zachary Joel Sullivan, DO
• Nazia Sultana, M.D.
• Alexis Summerford
• Monica Kristin Summerhill, PA-C
• David D. Summers, CRNA
• Hunter Grae Summers
• Kimberly P Summerville, LCSW

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.