Home Town Dental at Belknap,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOME TOWN DENTAL AT BELKNAP,PC

Practice address

3825 Yucca Ave
101
Fort Worth, TX 76111

Phone

(817) 831-9300

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Patty Sanchez

Title

Regional Manager

Phone

(817) 714-3630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1932424009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 YUCCA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116022",
            "telephone_number": "817-831-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 YUCCA AVE",
            "address_2": "101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-831-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DENTAL AT BELKNAP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "817-714-3630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.