Organization Active NPI

Matthew R Bentley DMD PC

  • Customized Equipment (DME)
  • Fort Worth, TX
National Provider Identifier
1851832836
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
23280 Issued in TX
Legal business name
MATTHEW R BENTLEY DMD PC
Practice address
2517 8TH Ave
Fort Worth, TX 76110-2538
Phone
(817) 923-9877
Fax
(817) 923-9854
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Matthew R Bentley, D.M.DNPI 1902090582
Title
Owner/Dentist
Phone
(817) 923-9877

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 23280 TX
Customized Equipment (DME) 332BC3200X 23280 TX Primary

Addresses

Primary practice location

2517 8TH Ave
Fort Worth, TX 76110-2538

Mailing address

2517 8TH Ave
Fort Worth, TX 76110-2538
Phone (817) 923-9877

Other names 1

  • Bentley Dental Other name

National Provider Directory

National Provider Directory

Locations

2517 8th Ave
Fort Worth, TX 76110
Phone (817) 923-9877

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1851832836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102538",
            "telephone_number": "817-923-9877",
            "fax_number": "817-923-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102538",
            "telephone_number": "817-923-9877",
            "fax_number": "817-923-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R BENTLEY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "817-923-9877",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23280",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "23280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentley Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 10, 2017; 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.