Organization Active NPI

Amos Ross DDS Inc

  • General Practice Dentistry
  • Ft Worth, TX
National Provider Identifier
1629280615
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21489 Issued in TX
Legal business name
AMOS ROSS DDS INC
Practice address
4760 Barwick Dr
Amos Ross DDS Inc Ste B
Ft Worth, TX 76132
Phone
(817) 292-2555
Fax
(817) 370-0181
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Dr. Amos Ben Ross, DDSNPI 1881014512
Title
President
Phone
(817) 292-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10637 TX
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21489 TX Primary

Addresses

Primary practice location

4760 Barwick Dr
Amos Ross DDS Inc Ste B
Ft Worth, TX 76132

Mailing address

4760 Barwick Dr
Amos Ross DDS Inc Ste B
Ft Worth, TX 76132
Phone (817) 292-2555

National Provider Directory

National Provider Directory

Locations

4760 Barwick Dr
Ste B
Ft Worth, TX 76132
Phone (817) 292-2555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1629280615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR",
            "address_2": "AMOS ROSS DDS INC STE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-292-2555",
            "fax_number": "817-370-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR",
            "address_2": "AMOS ROSS DDS INC STE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-292-2555",
            "fax_number": "817-370-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOS ROSS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-292-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10637",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.