Organization Active NPI

Dallas Dental Associates - Silver Sage PLLC

Doing business as Silver Sage Family Dentistry

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1609342856
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DALLAS DENTAL ASSOCIATES - SILVER SAGE PLLC
Doing business as
Silver Sage Family Dentistry
Practice address
6650 N Beach St
Fort Worth, TX 76137-1801
Phone
(817) 520-1702
NPI assigned
Oct 15, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Steven J. Wingfield, DMD
Title
Owner
Phone
(678) 906-1769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6650 N Beach St
Fort Worth, TX 76137-1801

Mailing address

6650 N Beach St
Fort Worth, TX 76137-1801
Phone (817) 520-1702

Other names 1

  • Silver Sage Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6650 N Beach St
Ft Worth, TX 76137
Phone (817) 520-1702

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1609342856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-520-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-520-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL ASSOCIATES - SILVER SAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-906-1769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Sage Family Dentistry",
            "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 Oct 15, 2018; 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.