NPIMap

Organization Active NPI

Salil Mehta DMD PC

Doing business as Fresh Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1922342203
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24326 Issued in TX
Legal business name
SALIL MEHTA DMD PC
Doing business as
Fresh Dentistry
Practice address
3409 N Tarrant Pkwy
Suite 117
Fort Worth, TX 76177-8607
Phone
(817) 337-8833
NPI assigned
Nov 26, 2012
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Salil Mehta, DMDNPI 1710137229
Title
Dentist
Phone
(248) 390-5063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24326 TX Primary

Addresses

Primary practice location

3409 N Tarrant Pkwy
Suite 117
Fort Worth, TX 76177-8607

Mailing address

3409 N Tarrant Pkwy
117
Fort Worth, TX 76177-8607
Phone (817) 337-8833

Other names 1

  • Fresh Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3409 N Tarrant Pkwy
Ste 117
Fort Worth, TX 76177
Phone (817) 337-8833

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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1922342203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N TARRANT PKWY",
            "address_2": "117",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778607",
            "telephone_number": "817-337-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N TARRANT PKWY",
            "address_2": "SUITE 117",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778607",
            "telephone_number": "817-337-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIL MEHTA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SALIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-390-5063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh 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 Jul 23, 2013; 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.