Active NPI
Showtime Family Dental
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1790926806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22677
- Legal business name
- SHOWTIME FAMILY DENTAL
- Practice address
- 3401 Altamesa Blvd
Suite 128
Fort Worth, TX 76133-8741 - Phone
- (817) 361-8111
- Fax
- (817) 361-8113
- NPI assigned
- Mar 19, 2009
- 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. Sonia Denise Smith, D.D.S
- Title
- Dentist
- Phone
- (817) 723-7141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22677 | TX | Primary |
Addresses
Primary practice location
3401 Altamesa Blvd
Suite 128
Fort Worth, TX 76133-8741
Mailing address
3401 Altamesa Blvd
Suite 128
Fort Worth, TX 76133-8741
Phone (817) 361-8111
National Provider Directory
National Provider DirectoryLocations
3401 Altamesa Blvd
Ste 128
Fort Worth, TX 76133
Phone (817) 361-8111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fort Worth, TX
- NPI 1902247679
-
- General Practice Dentistry
- Dallas, TX
- NPI 1124127774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1790926806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 ALTAMESA BLVD",
"address_2": "SUITE 128",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761338741",
"telephone_number": "817-361-8111",
"fax_number": "817-361-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 ALTAMESA BLVD",
"address_2": "SUITE 128",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761338741",
"telephone_number": "817-361-8111",
"fax_number": "817-361-8113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOWTIME FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SONIA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "817-723-7141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22677",
"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 Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.