NPIMap

Organization Active NPI

Soumava Sen, DDS, P.C.

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1619214764
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUMAVA SEN, DDS, P.C.
Practice address
3411 Sycamore School Rd
Fort Worth, TX 76123-3030
Phone
(817) 918-3295
Fax
(817) 918-3304
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Soumava Sen
Title
Owner
Phone
(714) 480-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3411 Sycamore School Rd
Fort Worth, TX 76123-3030

Mailing address

530 S Main St
Orange, CA 92868-4525
Phone (714) 571-6493

Other identifiers 1

IdentifierTypeStateIssuer
G60850-MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Soumava Sen DDS PC46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

3411 Sycamore School Rd
Fort Worth, TX 76123
Phone (682) 233-9326

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1619214764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684525",
            "telephone_number": "714-571-6493",
            "fax_number": "714-571-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SYCAMORE SCHOOL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233030",
            "telephone_number": "817-918-3295",
            "fax_number": "817-918-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUMAVA SEN, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "SOUMAVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-480-3000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60850-",
            "state": "TX"
        }
    ],
    "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 Jan 11, 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.