Hallmark Family Dental PA

Primary specialty

DentistTaxonomy code 122300000X

License

20467 Issued in TX

Legal business name

HALLMARK FAMILY DENTAL PA

Practice address

105 Bellvue Dr
Ft Worth, TX 76134-5416

Phone

(817) 293-2088

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kaivan Kevin Afkami

Title

President

Phone

(817) 577-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Irwin Marks, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1003004490
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1801261003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PRECINCT LINE RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543171",
            "telephone_number": "817-577-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BELLVUE DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761345416",
            "telephone_number": "817-293-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "AFKAMI",
        "authorized_official_first_name": "KAIVAN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-577-9200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hall's Long Term Care Pharmacy, Inc. (Care Mart Pharmacy)
• Hall's Pharmacy
• Jennifer Marlene Hallcroft, LPC
• Heather Hallford-Alexander, LPC
• Sally Ann Hallgren, D.O.
• Joseph Paul Hallock, CPNP
• Halls IV & Institutional Pharmacy Dba Xpress Compounding Pharmacy
• Walter H. Halpenny, M.D.
• Haltom Operations, LLC (Life Care Center of Haltom)
• Aisha Hamad

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.