Organization Active NPI

Dav Row Enterprises

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1619366572
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25817 Issued in TX
Legal business name
DAV ROW ENTERPRISES
Practice address
6263 McCart Ave
200
Fort Worth, TX 76133-4200
Phone
(817) 370-1314
Fax
(817) 370-1344
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Ms. Michelle Davila, DDS
Title
Owner
Phone
(817) 370-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25817 TX Primary

Addresses

Primary practice location

6263 McCart Ave
200
Fort Worth, TX 76133-4200

Mailing address

6263 McCart Ave
200
Fort Worth, TX 76133-4200
Phone (817) 370-1314

Other identifiers 1

IdentifierTypeStateIssuer
1538476858OtherNPI

National Provider Directory

National Provider Directory

Locations

6263 McCart Ave
Ste 200
Fort Worth, TX 76133
Phone (817) 370-1314

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1619366572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 MCCART AVE",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761334200",
            "telephone_number": "817-370-1314",
            "fax_number": "817-370-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 MCCART AVE",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761334200",
            "telephone_number": "817-370-1314",
            "fax_number": "817-370-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAV ROW ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-370-1314",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538476858",
            "state": null
        }
    ],
    "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 15, 2015; 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.