NPIMap

Organization Active NPI

Great Expression Smiles

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1750769071
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24570 Issued in TX
Legal business name
GREAT EXPRESSION SMILES
Practice address
6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Phone
(817) 496-2343
Fax
(817) 665-3822
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Tri H Pham, DDS
Title
Doctor
Phone
(817) 496-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24570 TX Primary

Addresses

Primary practice location

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123

Mailing address

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Phone (817) 496-2343

National Provider Directory

National Provider Directory
Tax ID family
Great Expression Smiles4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1750769071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343",
            "fax_number": "817-665-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343",
            "fax_number": "817-665-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPRESSION SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-496-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24570",
            "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 May 7, 2015; 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.