Individual provider Active NPI

Catherine Chaumont, DDS

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1972687259
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22211 Issued in TX
Practice address
1050 5TH Ave Ste G
Fort Worth, TX 76104-2903
Phone
(817) 332-9700
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22211 TX Primary

Addresses

Primary practice location

1050 5TH Ave Ste G
Fort Worth, TX 76104-2903

Mailing address

3924 Pelham Road
Ft. Worth, TX 76116

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511000359 TX Order and Referring Only - DentistPractitioner - Dentist 8022337286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22211TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David J.W. Sorokolit DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1972687259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 PELHAM ROAD",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE STE G",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042903",
            "telephone_number": "817-332-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUMONT",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.