NPIMap

Organization Active NPI

Bravo Dental

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1629860465
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRAVO DENTAL
Practice address
3301 Stalcup Rd
Fort Worth, TX 76119-1726
Phone
(214) 884-9813
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Rita F. NE, D.D.S.,M.SNPI 1316068935
Title
Owner
Phone
(214) 704-6778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3301 Stalcup Rd
Fort Worth, TX 76119-1726

Mailing address

4001 McEwen Rd Ste 408
Dallas, TX 75244-5054
Phone (214) 704-6778

National Provider Directory

National Provider Directory
Tax ID family
Bravo Dental11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

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": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1629860465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MCEWEN RD STE 408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445054",
            "telephone_number": "214-704-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STALCUP RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761191726",
            "telephone_number": "214-884-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "NE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-704-6778",
        "authorized_official_credential": "D.D.S.,M.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2025; 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.