Silver Sage Molina PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27850 Issued in TX

Legal business name

SILVER SAGE MOLINA PLLC

Practice address

6650 N Beach St
Fort Worth, TX 76137-1801

Phone

(817) 756-8987

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Molina, DDS

Title

President

Phone

(305) 632-2530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1932584133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-756-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371801",
            "telephone_number": "817-756-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SAGE MOLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-2530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Silva, RD
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• Jose Ramon Silvas, MD
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• Silversprings Central Adult Daycare Center Inc
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• David Simba
• K Bridgett Simeroth, L.P.T.
• Melvin Paul Simien, M.D.

• 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 Jul 29, 2015; 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.