Organization Active NPI

FMR Implant Services LLC

  • Specialist
  • Ft Worth, TX
National Provider Identifier
1972434074
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FMR IMPLANT SERVICES LLC
Practice address
6600 North Fwy Ste 109
Ft Worth, TX 76137-7556
Phone
(972) 286-5711
Fax
(972) 286-5715
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Sukhraj Khassa
Title
Manager
Phone
(972) 286-5711

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Sleep Medicine (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0012X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X

Addresses

Primary practice location

6600 North Fwy Ste 109
Ft Worth, TX 76137-7556

Mailing address

3501 Shepherd LN
Balch Springs, TX 75180-2325
Phone (972) 286-5711

Other practice location 1

12000 US Highway 380 Ste 114
Cross Roads, TX 76227-2340
Phone (940) 365-3333

Other practice location 2

3355 Trinity Mills Rd Ste 209
Dallas, TX 75287-6282
Phone (972) 306-3282

Other practice location 3

3501 Shepherd Ln
Balch Springs, TX 75180-2325
Phone (972) 286-5711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1972434074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHEPHERD LN",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751802325",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 NORTH FWY STE 109",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761377556",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 US Highway 380 Ste 114",
            "address_purpose": "LOCATION",
            "city": "Cross Roads",
            "state": "TX",
            "postal_code": "762272340",
            "country_code": "US",
            "telephone_number": "940-365-3333",
            "fax_number": "940-239-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Trinity Mills Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876282",
            "country_code": "US",
            "telephone_number": "972-306-3282",
            "fax_number": "972-862-6792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Shepherd Ln",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751802325",
            "country_code": "US",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FMR IMPLANT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SUKHRAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-286-5711"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.