Dallas Fort Worth Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

DALLAS FORT WORTH ENDODONTICS, PLLC

Doing business as

DFW Endodontics

Practice address

1750 Cavender Dr
Hurst, TX 76054-3546

Phone

(817) 786-4696

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Countryman, DDSNPI 1437633054

Title

Owner, Endodontist

Phone

(903) 340-7943

Specialties & licenses 1

Addresses

Other names 1

• DFW Endodontics Doing business as

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.

• Kyle Countryman, DDS

  • Endodontics
  • Flower Mound, TX
  • NPI 1437633054
  NPD (past) Authorized official

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1639893027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14965 OAK ST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750011576",
            "telephone_number": "903-340-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CAVENDER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543546",
            "telephone_number": "817-786-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS FORT WORTH ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER, ENDODONTIST",
        "authorized_official_telephone_number": "903-340-7943",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CVS Pharmacy Inc. (CVS Pharmacy #)
• CVS Pharmacy, Inc. (CVS Pharmacy #00485)
• Eniola Dada, OTD
• Laura F Daggs, O.T.
• Dale H Brancel, D.O., P.a.
• John H Dalton, MD
• Daniel Max & Marcandrea LLC (My EyeLab)
• Catherine Daniel, LOTA
• Chad Daniels, D.C.
• David B. Bradley, DC, PC

• Endodontics in Hurst, TX
• Providers in Hurst, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.