Organization Active NPI

A Brighter Choice

Doing business as Brian Arceneaux/Edwina Smith

  • Preferred Provider Organization
  • Fort Worth, TX
National Provider Identifier
1558641472
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
A BRIGHTER CHOICE
Doing business as
Brian Arceneaux/Edwina Smith
Practice address
1309 Porta St Apt 805
Fort Worth, TX 76120-4109
Phone
(214) 707-9387
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Ms. Edwina Leigh Smith
Title
Program Manager
Phone
(682) 472-4680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

1309 Porta St Apt 805
Fort Worth, TX 76120-4109

Mailing address

PO Box 14167
Arlington, TX 76094-1167
Phone (214) 707-9387

Other names 1

  • Brian Arceneaux/Edwina Smith Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1558641472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14167",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760941167",
            "telephone_number": "214-707-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PORTA ST APT 805",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204109",
            "telephone_number": "214-707-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHTER CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "682-472-4680",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Arceneaux/Edwina Smith",
            "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 Aug 23, 2011; 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.