Organization Active NPI

Hewitt Family Dental

Doing business as Fusion Dental and Braces- Hewitt

  • General Practice Dentistry
  • Woodway, TX
National Provider Identifier
1669120127
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEWITT FAMILY DENTAL
Doing business as
Fusion Dental and Braces- Hewitt
Practice address
1605 Hewitt Dr Ste 102
Woodway, TX 76712-8628
Phone
(254) 224-6600
NPI assigned
Mar 14, 2022
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. William R Jennings, DDS
Title
Owner
Phone
(940) 206-8956

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1605 Hewitt Dr Ste 102
Woodway, TX 76712-8628

Mailing address

2109 Commerce St # 200
Dallas, TX 75201-4305
Phone (972) 248-1221

Other names 1

  • Fusion Dental and Braces- Hewitt Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1669120127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 COMMERCE ST # 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014305",
            "telephone_number": "972-248-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HEWITT DR STE 102",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128628",
            "telephone_number": "254-224-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEWITT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-206-8956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Dental and Braces- Hewitt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Dental and Braces- Hewitt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.