NPIMap

Organization Active NPI

Dental Health Associates of Texas, PC

Doing business as Bluebonnet Dental Care

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1679958821
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Doing business as
Bluebonnet Dental Care
Practice address
3980 Boat Club Rd Ste 114
Fort Worth, TX 76135-3206
Phone
(817) 237-1600
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Kim Zuber
Title
Cred Superivsor
Phone
(217) 540-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3980 Boat Club Rd Ste 114
Fort Worth, TX 76135-3206

Mailing address

3980 Boat Club Rd Ste 114
Fort Worth, TX 76135-3206
Phone (817) 237-1600

Other names 1

  • Bluebonnet Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3980 Boat Club Rd
Ste 114
Lake Worth, TX 76135
Phone (817) 237-1600

Practitioners & affiliated clinicians

Practitioners 3

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1679958821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 BOAT CLUB RD STE 114",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353206",
            "telephone_number": "817-237-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 BOAT CLUB RD STE 114",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353206",
            "telephone_number": "817-237-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "ZUBER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED SUPERIVSOR",
        "authorized_official_telephone_number": "217-540-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebonnet Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2015; 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.