Chisholm Trail Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CHISHOLM TRAIL ORAL SURGERY PLLC

Practice address

7040 Harris Pkwy Ste 140
Fort Worth, TX 76132-4218

Phone

(903) 530-7382

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Craig HarrisonNPI 1528598695

Title

Owner / Provider

Phone

(817) 484-4778

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.

• Craig Edward Harrison II, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1528598695

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1811733769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 TRAILS END DR APT 2018",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160785",
            "telephone_number": "903-530-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 HARRIS PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324218",
            "telephone_number": "903-530-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM TRAIL ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "817-484-4778"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Health Center of Grand Prairie LLC
• Chiropractx, PLLC
• Chirotech, Inc
• Chisholm Trail E-Therapy and Counseling, PLLC
• Chisholm Trail Emergency Center
• Chisholm Trail Orthopedics & Sports Medicine, LLLP
• Chisholm Trail Scal LLC
• Allison Gail Chisholm, M.D
• Edward Lee Chisholm, MS, LAT, ATC
• Edna Chism Nicholas

• All providers in Fort Worth, TX
• Oral and Maxillofacial Surgery (Dentist) in Texas

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