Organization Active NPI

Ig Dental

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1629873708
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IG DENTAL
Practice address
2469 Forest Park Blvd
Fort Worth, TX 76110-1731
Phone
(817) 924-6211
Fax
(817) 924-6212
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Fareed Ighani, D.D.S.NPI 1134739451
Title
Owner Dentist
Phone
(469) 766-0906

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2469 Forest Park Blvd
Fort Worth, TX 76110-1731

Mailing address

2469 Forest Park Blvd
Fort Worth, TX 76110-1731
Phone (817) 924-6211

National Provider Directory

National Provider Directory

Locations

2469 Forest Park Blvd
Fort Worth, TX 76110
Phone (817) 924-6211

Practitioners & affiliated clinicians

Practitioners 3

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": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1629873708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101731",
            "telephone_number": "817-924-6211",
            "fax_number": "817-924-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101731",
            "telephone_number": "817-924-6211",
            "fax_number": "817-924-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "IGHANI",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "469-766-0906",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Feb 13, 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.