Individual provider Active NPI

Peter Vo, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1558597641
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24637 Issued in TX
Practice address
6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Phone
(817) 496-2343
Fax
(817) 496-2389
NPI assigned
Jun 3, 2009
Last updated
May 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24637 TX Primary

Addresses

Primary practice location

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123

Mailing address

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Phone (817) 496-2343

Other practice location 1

5416 Basswood Blvd
Fort Worth, TX 76137-4400
Phone (817) 656-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24637TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentist Near Me Grand Prairie, PLLC General Practice Current Accepting new patients
Affordable Dentist Near Me Lancaster,PLLC General Practice Current Accepting new patients
Affordable Dentist Near Me Crowley PLLC General Practice Current Accepting new patients

Locations

5416 Basswood Blvd
Fort Worth, TX 76137
Phone (817) 656-1215

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1558597641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343",
            "fax_number": "817-496-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343",
            "fax_number": "817-496-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5416 Basswood Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374400",
            "country_code": "US",
            "telephone_number": "817-656-1215",
            "fax_number": "877-230-8349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 11, 2021; 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.