Individual provider Active NPI

Beatriz Springer, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1659719045
Registry record updated Apr 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28895 Issued in TX
Practice address
3400 Texas Sage TRL
Suite 136
Fort Worth, TX 76177-8603
Phone
(817) 750-1300
Fax
(817) 750-1301
NPI assigned
Jun 7, 2013
Last updated
Apr 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28895 TX Primary

Addresses

Primary practice location

3400 Texas Sage TRL
Suite 136
Fort Worth, TX 76177-8603

Mailing address

3400 Texas Sage TRL
Suite 136
Fort Worth, TX 76177-8603
Phone (817) 750-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724012286 TX Order and Referring Only - DentistPractitioner - Dentist 0042523698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28895TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397260800000",
    "number": "1659719045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TEXAS SAGE TRL",
            "address_2": "SUITE 136",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778603",
            "telephone_number": "817-750-1300",
            "fax_number": "817-750-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TEXAS SAGE TRL",
            "address_2": "SUITE 136",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778603",
            "telephone_number": "817-750-1300",
            "fax_number": "817-750-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2014-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.