Mitch Conditt DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

14612 Issued in TX

Legal business name

MITCH CONDITT DDS PLLC

Practice address

6316 Camp Bowie Blvd
Fort Worth, TX 76116-5418

Phone

(817) 737-5155

Fax

(817) 737-4095

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mitch Conditt, DDS

Title

Doctor/Owner

Phone

(817) 737-5155

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly G Blair, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1902979628
  NPD (past)
• Mitchell Allen Conditt, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1184648982
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1659784395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 CAMP BOWIE BLVD",
            "address_2": "2ND FLOOR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165418",
            "telephone_number": "817-737-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165418",
            "telephone_number": "817-737-5155",
            "fax_number": "817-737-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH CONDITT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "CONDITT",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-737-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambir Rauf Mirza, MD
• Angela Sadat Mirzadeh, DO
• Akberet Girmay Misgna
• Regbe Misgna
• Mission Travis Mercy
• Kelli Susan Mitchell-Wyatt, LMSW
• Abigail Mitchell, DC
• Courtney Mitchell, M.D.
• Curtis Matthew Mitchell, M.D.
• Demarque Mitchell, LCSW

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.