Organization Active NPI

Home Town Dental Alliance

  • General Practice Dentistry
  • Forth Worth, TX
National Provider Identifier
1962877373
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOME TOWN DENTAL ALLIANCE
Practice address
8901 Tehama
Suite 119
Forth Worth, TX 76177
Phone
(817) 834-2600
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Monjit Guram
Title
Business Owner
Phone
(817) 834-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8901 Tehama
Suite 119
Forth Worth, TX 76177

Mailing address

3825 Yucca Ave
Suite 101
Forth Worth, TX 76111
Phone (817) 834-2600

National Provider Directory

National Provider Directory

Locations

3825 Yucca Ave
Ste 101
Fort Worth, TX 76111
Phone (817) 831-9300

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1962877373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 YUCCA AVE",
            "address_2": "SUITE 101",
            "city": "FORTH WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-834-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 TEHAMA",
            "address_2": "SUITE 119",
            "city": "FORTH WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-834-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DENTAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "GURAM",
        "authorized_official_first_name": "MONJIT",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "817-834-2600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forth Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.