Active NPI
Dentists at Chisholm Trail, PC
Doing business as Dentists at Chisholm Trail
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1770118911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTS AT CHISHOLM TRAIL, PC
- Doing business as
- Dentists at Chisholm Trail
- Practice address
- 9604 Ten Gallon Dr
Fort Worth, TX 76123-2186 - Phone
- (817) 803-4362
- Fax
- (817) 803-4090
- NPI assigned
- Mar 9, 2020
- Last updated
- Jun 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joyanna Hoffman, DMD
- Title
- Owner
- Phone
- (817) 803-4362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
9604 Ten Gallon Dr
Fort Worth, TX 76123-2186
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890
Other names 1
- Dentists at Chisholm Trail
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2321138 | Dentists at Chisholm Trail | Certificate of waiver | Mar 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
9604 Ten Gallon Dr
Fort Worth, TX 76123
Phone (817) 803-4362
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Dentist
- Fort Worth, TX
- NPI 1730925413
-
- Dentist
- Fort Worth, TX
- NPI 1528763984
-
- Dentist
- Fort Worth, TX
- NPI 1225707839
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1558289504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1770118911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050",
"telephone_number": "714-845-8890",
"fax_number": "303-952-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9604 TEN GALLON DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232186",
"telephone_number": "817-803-4362",
"fax_number": "817-803-4090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS AT CHISHOLM TRAIL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-09",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "JOYANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-803-4362",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists at Chisholm Trail",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dentists at Chisholm Trail",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Dental Health Associates of TX, P.C. (Boswell Dental Care)
- Dental Republic- Seminary (Dental Republic)
- Dentistry for Children of Fort Worth PLLC
- Dentistry for Children PLLC
- Dentistry on Western Center
- Dentists of Eagle Mountain, PC (Dentists of Eagle Mountain)
- Department of Veterans Affairs
- Thomas Elden Deporter, M.D.
- Depression Connection for Recovery
- Dept of Assistive & Rehab Serv - Fort Worth Field Headquarters
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.