Organization Active NPI

Trinity Endodontics.

  • Endodontics
  • Granbury, TX
National Provider Identifier
1912769563
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TRINITY ENDODONTICS.
Practice address
2214 E US Highway 377
Granbury, TX 76049-6010
Phone
(817) 573-1624
Fax
(817) 573-1664
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Ray Cooke Gillespie, D.D.S.,M.S.NPI 1396949632
Title
Owner
Phone
(817) 361-0929

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

2214 E US Highway 377
Granbury, TX 76049-6010

Mailing address

6700 Harris Pkwy
Trinity Endodontics
Fort Worth, TX 76132
Phone (817) 361-0929

Other names 1

  • Trinity Endodontics. Doing business as

National Provider Directory

National Provider Directory

Locations

6700 Harris Pkwy
Fort Worth, TX 76132
Phone (817) 361-0929

Practitioners & affiliated clinicians

Practitioners 1

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1912769563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 HARRIS PKWY",
            "address_2": "TRINITY ENDODONTICS",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-361-0929",
            "fax_number": "817-361-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760496010",
            "telephone_number": "817-573-1624",
            "fax_number": "817-573-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ENDODONTICS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "COOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-361-0929",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Endodontics.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.