Individual provider Active NPI

Partha Mukherji, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1851480602
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20850 Issued in TX
Practice address
7200 Red Hawk CT
Fort Worth, TX 76132-4106
Phone
(817) 294-8092
Fax
(817) 294-8692
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20850 TX Primary

Addresses

Primary practice location

7200 Red Hawk CT
Fort Worth, TX 76132-4106

Mailing address

7551 Oakmont Blvd.
Fort Worth, TX 76132
Phone (817) 292-9348

Other practice location 1

115 W 2nd St Ste 200
Fort Worth, TX 76102-3023
Phone (817) 877-1872

Other practice location 2

9500 Ray White Rd
Ste 105
Fort Worth, TX 76244-9104
Phone (817) 741-1300

Other practice location 3

7551 Oakmont Blvd.
Fort Worth, TX 76132
Phone (817) 292-9348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001889 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901117795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20850TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates of Texas, PC. General Practice PastSince Jul 24, 2022 Accepting new patients
Dental Health Associates of Texas, PC General Practice PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1851480602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 OAKMONT BLVD.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-292-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 RED HAWK CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324106",
            "telephone_number": "817-294-8092",
            "fax_number": "817-294-8692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W 2nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761023023",
            "country_code": "US",
            "telephone_number": "817-877-1872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Ray White Rd",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762449104",
            "country_code": "US",
            "telephone_number": "817-741-1300",
            "fax_number": "817-741-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7551 Oakmont Blvd.",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76132",
            "country_code": "US",
            "telephone_number": "817-292-9348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJI",
        "first_name": "PARTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.