National Dental Services- NDS Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NATIONAL DENTAL SERVICES- NDS DENTAL

Doing business as

NDS Dental

Practice address

8701 Regal Royale Dr
Fort Worth, TX 76108-7948

Phone

(817) 920-7569

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin HaywoodNPI 1245513209

Title

President

Phone

(817) 920-7569

Specialties & licenses 1

Addresses

Other names 1

• NDS Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin L Haywood Sr., RDA

  • Dental Assistant
  • Fort Worth, TX
  • NPI 1245513209
  NPD (past) Authorized official

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1609274026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S UNIVERSITY DR",
            "address_2": "SUITE 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093700",
            "telephone_number": "817-920-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 REGAL ROYALE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761087948",
            "telephone_number": "817-920-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DENTAL SERVICES- NDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-920-7569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDS Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Natale, LVN
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• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.