Organization Active NPI

Essential Endodontics PA

  • Endodontics
  • Fort Worth, TX
National Provider Identifier
1831756576
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ESSENTIAL ENDODONTICS PA
Practice address
3880 Hulen St Ste 310
Fort Worth, TX 76107-7274
Phone
(817) 737-7668
Fax
(817) 377-8950
NPI assigned
May 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Dr. Christopher D J YeltonNPI 1558591511
Title
Dentist/ Owner
Phone
(817) 737-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3880 Hulen St Ste 310
Fort Worth, TX 76107-7274

Mailing address

3880 Hulen St Ste 310
Fort Worth, TX 76107-7274
Phone (817) 737-7668

Other identifiers 1

IdentifierTypeStateIssuer
1558591511OtherTXENDODONTIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fortworth@essentialendotx.com Direct

National Provider Directory

National Provider Directory

Locations

3880 Hulen St
Ste 310
Fort Worth, TX 76107
Phone (817) 737-7668

Practitioners & affiliated clinicians

Practitioners 5

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": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1831756576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 HULEN ST STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077274",
            "telephone_number": "817-737-7668",
            "fax_number": "817-377-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 HULEN ST STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077274",
            "telephone_number": "817-737-7668",
            "fax_number": "817-377-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL ENDODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "YELTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D J",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "817-737-7668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIC",
            "identifier": "1558591511",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fortworth@essentialendotx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3880 Hulen St Ste 310",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761077274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 28, 2019; 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.