Organization Active NPI

Elizabeth Laborde DDS PLLC

Doing business as Clearfork Pediatric Dentistry

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1881156164
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELIZABETH LABORDE DDS PLLC
Doing business as
Clearfork Pediatric Dentistry
Practice address
5656 Edwards Ranch Rd
Fort Worth, TX 76109
Phone
(214) 226-8732
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Dr. Elizabeth Laborde, DDSNPI 1659543445
Title
Pediatric Dentist/Owner
Phone
(214) 226-8732

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5656 Edwards Ranch Rd
Fort Worth, TX 76109

Mailing address

321 N Bailey Ave
Fort Worth, TX 76107-1001
Phone (214) 226-8732

Other names 1

  • Clearfork Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5656 Edwards Ranch Rd
Fort Worth, TX 76109
Phone (214) 226-8732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1881156164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N BAILEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071001",
            "telephone_number": "214-226-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "214-226-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LABORDE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "214-226-8732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearfork Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 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.