Alta Mere Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALTA MERE DENTAL PLLC

Practice address

550 Alta Mere Dr
Fort Worth, TX 76114-4053

Phone

(480) 646-6004

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Mark Anthony Resasco

Title

Owner

Phone

(480) 646-6004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1659913788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144053",
            "telephone_number": "480-646-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MERE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "RESASCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-646-6004"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Alschbach, LMSW
• Esraa Alshaibani
• Ashley Alston-Rodger, MD
• Ayman A Alsudani
• Omar Alswaiti
• Altamesa Dental
• Altamesa Dental Home PLLC
• Tomas Altamirano III, LMSW
• Aaron J Alterman
• Becky Wightman Althaus, RN, PH.D., CGC

• 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 Oct 10, 2019; 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.