Organization Active NPI

Sonria Dental PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1740524198
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONRIA DENTAL PLLC
Practice address
612 NW 25TH St
Fort Worth, TX 76164-7009
Phone
(972) 898-3694
NPI assigned
Nov 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Andy LeNPI 1467788646
Title
Owner
Phone
(972) 898-3694

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

612 NW 25TH St
Fort Worth, TX 76164-7009

Mailing address

1556 Bosque Dr
Carrollton, TX 75010-6427

National Provider Directory

National Provider Directory

Locations

612 NW 25th St
Ft Worth, TX 76164
Phone (817) 626-0481

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1740524198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 BOSQUE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NW 25TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647009",
            "telephone_number": "972-898-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRIA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-898-3694"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.