Organization Active NPI

Cabal Group Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
National Provider Identifier
1972877959
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CABAL GROUP INC.
Doing business as
Lake Country Orthodontics
Practice address
5800 Boat Club Rd
Fort Worth, TX 76179-7773
Phone
(817) 236-7846
Fax
(817) 236-3354
NPI assigned
Mar 8, 2012
Organization subpart
Yes
Parent organization
CABAL GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Ciro CabalNPI 1801079124
Title
Owner/Doctor
Phone
(817) 236-7846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5800 Boat Club Rd
Fort Worth, TX 76179-7773

Mailing address

5800 Boat Club Rd
Fort Worth, TX 76179-7773
Phone (817) 236-7846

Other names 1

  • Lake Country Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Cabal Group Inc

Locations

5800 Boat Club Rd
Fort Worth, TX 76179
Phone (817) 236-7846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1972877959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797773",
            "telephone_number": "817-236-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797773",
            "telephone_number": "817-236-7846",
            "fax_number": "817-236-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABAL GROUP INC.",
        "enumeration_date": "2012-03-08",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "CABAL",
        "authorized_official_first_name": "CIRO",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "817-236-7846",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Country Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.