Thomas Fow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40817 Issued in TX

Practice address

3455 Locke Ave Ste 250
Fort Worth, TX 76107-5707

Phone

(817) 476-2623

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Norterra Dental Group and Orthodontics, LLP

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1861628992
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1760976997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LOCKE AVE STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075707",
            "telephone_number": "817-476-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LOCKE AVE STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075707",
            "telephone_number": "817-476-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOW",
        "first_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40817",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Founder Project RX, Inc.
• Fountain of Life Home Health Care LLC
• Four Caring Hands
• Fouroakshealth LLC
• Cynthia Foutz, LVN
• Amy Fowler, LPC
• Heather Fowler, LMSW
• Kimberly Dawn Fowler
• Michael Fowler, LMFT
• Tammie M Fowler

• 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 Jul 29, 2024; 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.