Organization Active NPI

FMD Associates

Doing business as Flower Mound Dental Associates

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1720226111
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18962 Issued in TX
Legal business name
FMD ASSOCIATES
Doing business as
Flower Mound Dental Associates
Practice address
2021 Justin Rd Ste 119
Flower Mound, TX 75028-3836
Phone
(972) 691-8337
NPI assigned
Jan 23, 2009
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. William Robert Jennings Jr., DDSNPI 1902829070
Title
Partner
Phone
(972) 691-8337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18962 TX Primary

Addresses

Primary practice location

2021 Justin Rd Ste 119
Flower Mound, TX 75028-3836

Mailing address

2021 Justin Rd Ste 119
Flower Mound, TX 75028-3836
Phone (972) 691-8337

Other names 1

  • Flower Mound Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2021 Justin Rd
Ste 119
Flower Mound, TX 75028
Phone (972) 640-7891

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1720226111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD STE 119",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283836",
            "telephone_number": "972-691-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD STE 119",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283836",
            "telephone_number": "972-691-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMD ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-691-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flower Mound Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.