Mansfield Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

12539 Issued in TX

Legal business name

MANSFIELD FAMILY DENTISTRY

Practice address

100 Carlin Rd
Mansfield, TX 76063-3454

Phone

(817) 473-0291

Fax

(682) 518-1190

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Brentlinger Bauer, RDH

Title

RDH/Office Manager

Phone

(817) 473-0291

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• John Edward Bauer, DDS

  • Dentist
  • Mansfield, TX
  • NPI 1982707311
  NPD (past)
• William Cody Bauer, DENTIST

  • Dentist
  • Mansfield, TX
  • NPI 1467716449
  NPD (past)
• Walkiria Rivera Jones, D.D.S.

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1588046932
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1710289061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARLIN RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633454",
            "telephone_number": "817-473-0291",
            "fax_number": "682-518-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARLIN RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633454",
            "telephone_number": "817-473-0291",
            "fax_number": "682-518-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "BRENTLINGER",
        "authorized_official_title_or_position": "RDH/OFFICE MANAGER",
        "authorized_official_telephone_number": "817-473-0291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12539",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansfield Counseling
• Mansfield Counseling
• Mansfield Dental Associates PA
• Mansfield Dermatology, PLLC
• Mansfield Endoscopy Center, LLC
• Mansfield Family Therapy Services, LLC
• Mansfield Group Health, LLC
• Mansfield HK Group Health, LLC
• Mansfield Interventional Pain Center, LLC
• Mansfield Isd

• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.