Atul M Masters, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16367 Issued in TX

Practice address

1612 NW 28TH St
Fort Worth, TX 76164-6843

Phone

(817) 625-2636

Fax

(817) 625-2276

NPI assigned

May 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jinat Corporation

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1093800153
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1700044971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 NW 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646843",
            "telephone_number": "817-625-2636",
            "fax_number": "817-625-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 NW 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646843",
            "telephone_number": "817-625-2636",
            "fax_number": "817-625-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "ATUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091167902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091167903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091167901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Massey, PHAMD
• Lyndsi Fallin Massie, A-SLP
• Paul Massingill
• Maste Bone, LLC
• Stewart Alan Master, M.D.
• Michele D Mastick, LPC
• Julie R Mastin, LPC
• Wendi Mastroianni, MPT
• Masvida Health Care Solutions LLC
• Mariel Joselin Mata, OD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.