Fort Worth Emergency Dental Care USA Management Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT WORTH EMERGENCY DENTAL CARE USA MANAGEMENT INC.

Doing business as

Emergency Dental Care USA

Practice address

5334 N Tarrant Pkwy
Fort Worth, TX 76244-6293

Phone

(817) 581-3411

NPI assigned

Dec 15, 2014

Last updated

Dec 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael ObengNPI 1104963172

Title

Manager

Phone

(402) 393-2726

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

Practitioners 2

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.

• Michael K Obeng, DDS

  • Dentist
  • Omaha, NE
  • NPI 1104963172
  Authorized official Same address or phone
• Zohreh Khavandgar, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1073176368
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1730587304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S 143RD CIR",
            "address_2": "SUITE 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374516",
            "telephone_number": "402-393-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446293",
            "telephone_number": "817-581-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH EMERGENCY DENTAL CARE USA MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-393-2726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Worth Dermatology Associates P a
• Fort Worth Dermatology Center, PLLC
• Fort Worth Diagnostic Clinic PA
• Fort Worth Digestive Associates
• Fort Worth Emergency Dental Care PC
• Fort Worth Endodontics
• Fort Worth Endoscopy Centers, LLC (Fort Worth Endoscopy Center)
• Fort Worth Endoscopy Centers, LLC (Southwest Fort Worth Endoscopy Center)
• Fort Worth ENT,P.a.
• Fort Worth ER LLC

• 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 Dec 15, 2014; 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.