Celebrity Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CELEBRITY DENTAL PC

Practice address

5651 E Lancaster Ave
Fort Worth, TX 76112-6430

Phone

(214) 275-4808

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lourdes Hernandez

Title

Office Manager

Phone

(214) 275-4808

Specialties & licenses 1

Addresses

Other names 1

• Celebrity Dental Doing business as

Tax ID family

Celebrity Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Celebrity Dental PC

  • Dentist
  • Dallas, TX
  • NPI 1275821647
  NPD tax ID

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1487084315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126430",
            "telephone_number": "214-275-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-275-4808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Dy'Ona Cedeno, D.C.
• Alianna Cedillo
• Fatoumatta Ceesay, RN-BSN
• Michelle Cefaretti, PHARMD
• Angela Marie Ceglar, LPC
• Cenikor Foundation
• Cenna Home Health Services Inc
• Center for Assisted Reproduction Laboratory and Surgery Center Inc.
• Center for Assisted Reproduction, PA
• Center for Assisted Reproduction, PA

• 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 Nov 13, 2013; 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.