Organization Active NPI

Showtime Family Dental

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1790926806
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22677 Issued in TX
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

Updated by the provider on Mar 23, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.