Children'S Dental Services of Texas, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC

Practice address

4545 Bellaire Dr S Ste 4
Fort Worth, TX 76109-1811

Phone

(817) 731-8600

Fax

(817) 207-0719

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jason A Zimmerman, DDSNPI 1902874159

Title

Owner

Phone

(817) 731-8600

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jason A Zimmerman, D.D.S., M.S.

  • Pediatric Dentistry
  • Fort Worth, TX
  • NPI 1902874159
  NPD Authorized official
• Jessie Trinh-Moore, D.M.D.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1932425204
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1699090100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55367",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760545367",
            "telephone_number": "214-533-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BELLAIRE DR S STE 4",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091811",
            "telephone_number": "817-731-8600",
            "fax_number": "817-207-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-731-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20465",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210915901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child Vision Center
• Ashley R Childers, CRNA
• James Steven Childers, MD
• Children & Family Services
• Children'S Advocacy Resources & Education, Inc.
• Children'S Haven Counseling Services
• Childrens Feeding Therapy, PLLC
• Woody Cal Childress, PH.D.
• Carly Anne Childs, CPNP
• Christopher Michael Childs, D.O.

• Pediatric Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.