Organization Active NPI

Fort Worth Fertility

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1659569556
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M0125 Issued in TX
Legal business name
FORT WORTH FERTILITY
Practice address
1800 Mistletoe Blvd
Fort Worth, TX 76104-4062
Phone
(817) 348-8145
Fax
(817) 348-8264
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Robert Alan Kaufmann, M.D.NPI 1780637983
Title
Owner
Phone
(817) 348-8145

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M0125 TX Primary

Addresses

Primary practice location

1800 Mistletoe Blvd
Fort Worth, TX 76104-4062

Mailing address

1800 Mistletoe Blvd
Fort Worth, TX 76104-4062
Phone (817) 348-8145

National Provider Directory

National Provider Directory

Locations

1800 Mistletoe Blvd
Fort Worth, TX 76104
Phone (405) 305-6252

245 W State Highway 114
Ste 210
Southlake, TX 76092

245 W State Highway 114
Ste 110
Southlake, TX 76092

Practitioners & affiliated clinicians

Practitioners 1

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1659569556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044062",
            "telephone_number": "817-348-8145",
            "fax_number": "817-348-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044062",
            "telephone_number": "817-348-8145",
            "fax_number": "817-348-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH FERTILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-348-8145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M0125",
            "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 Mar 30, 2010; 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.