NPIMap

Organization Active NPI

E.Q. Dental

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1740561000
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23321 Issued in TX
Legal business name
E.Q. DENTAL
Practice address
3529 Heritage Trace Pkwy
171
Fort Worth, TX 76244-4970
Phone
(817) 741-4567
Fax
(817) 741-4576
NPI assigned
Aug 31, 2011
Last updated
Aug 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Dr. Thomas Young, DDSNPI 1427249887
Title
Dentist
Phone
(817) 741-4567

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 23321 TX Primary

Addresses

Primary practice location

3529 Heritage Trace Pkwy
171
Fort Worth, TX 76244-4970

Mailing address

3529 Heritage Trace Pkwy
171
Fort Worth, TX 76244-4970
Phone (817) 741-4567

National Provider Directory

National Provider Directory

Locations

3529 Heritage Trace Pkwy
Ste 171
Fort Worth, TX 76244
Phone (817) 741-4567

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1740561000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY",
            "address_2": "171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444970",
            "telephone_number": "817-741-4567",
            "fax_number": "817-741-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY",
            "address_2": "171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444970",
            "telephone_number": "817-741-4567",
            "fax_number": "817-741-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.Q. DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-741-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23321",
            "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 Aug 31, 2011; 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.