Active NPI
William Fiore, DMD
- Dentist
- Fort Worth, TX
National Provider Identifier
1861706012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25783
- Practice address
- 2246 Jacksboro Hwy Ste 122
Fort Worth, TX 76114-2363 - Phone
- (817) 529-1799
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25783 | TX | Primary |
Addresses
Primary practice location
2246 Jacksboro Hwy Ste 122
Fort Worth, TX 76114-2363
Mailing address
1271 S Lola LN
Tempe, AZ 85281-4838
Phone (623) 326-6837
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001118 | TX | Order and Referring Only - Dentist | 6103116249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25783 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1861706012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 S LOLA LN",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852814838",
"telephone_number": "623-326-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 JACKSBORO HWY STE 122",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761142363",
"telephone_number": "817-529-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORE",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.