Individual provider Active NPI

Megan Fields, DDS

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1689191777
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33199 Issued in TX
Practice address
2413 E Loop 820 N
Fort Worth, TX 76118-6933
Phone
(817) 907-4553
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33199 TX Primary

Addresses

Primary practice location

2413 E Loop 820 N
Fort Worth, TX 76118-6933

Mailing address

6041 Walker Blvd Apt 3207
N Richland Hills, TX 76180-5694
Phone (817) 907-4553

Other practice location 1

4105 Gateway Ct
Colleyville, TX 76034-5905
Phone (817) 545-2144

Other names 1

  • Megan Kitching Former name

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
I20190808003960 TX Order and Referring Only - DentistPractitioner - Dentist 3173850476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33199TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1689191777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WALKER BLVD APT 3207",
            "city": "N RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761805694",
            "telephone_number": "817-907-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 E LOOP 820 N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186933",
            "telephone_number": "817-907-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Gateway Ct",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760345905",
            "country_code": "US",
            "telephone_number": "817-545-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "MEGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KITCHING",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.