Active NPI
Dante Paredes
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9264
- Practice address
- 855 Montgomery St FL 2
Fort Worth, TX 76107-2553 - Phone
- (817) 735-2228
- NPI assigned
- Jun 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | R9264 | TX | |
| Family Medicine Physician | 207Q00000X | R9264 | TX | Primary |
Addresses
Primary practice location
855 Montgomery St FL 2
Fort Worth, TX 76107-2553
Mailing address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2228
Other practice location 1
855 Montgomery St Fl 6
Fort Worth, TX 76107-2553
Phone (817) 735-2235
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 76.45
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9264 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Family Medicine | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Family Medicine | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients |
Locations
855 Montgomery St
#M
Fort Worth, TX 76107
Phone (817) 735-2235
855 Montgomery St
Fl 2
Fort Worth, TX 76107
Phone (817) 735-2228
855 Montgomery St
Fl 6
Fort Worth, TX 76107
Phone (817) 735-2235
3500 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-2000
855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Obstetrics & Gynecology Physician
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- NPI 1659473056
-
- Family Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1922489103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MONTGOMERY ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-735-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MONTGOMERY ST FL 2",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-735-2228"
}
],
"practiceLocations": [
{
"address_1": "855 Montgomery St Fl 6",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761072553",
"country_code": "US",
"telephone_number": "817-735-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAREDES",
"first_name": "DANTE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-14",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "TX",
"license": "R9264",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R9264",
"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 Jan 25, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.