Active NPI
Navarro Orthodontics of Fortworth,
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fortworth, TX
National Provider Identifier
1982921060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14228
- Legal business name
- NAVARRO ORTHODONTICS OF FORTWORTH,
- Practice address
- 815 E Berry St
Suite a
Fortworth, TX 76110-4414 - Phone
- (817) 916-5820
- Fax
- (817) 916-5822
- NPI assigned
- Apr 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos F Navarro, D.D.S, M.S.D
- Title
- President
- Phone
- (214) 526-3363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14228 | TX | Primary |
Addresses
Primary practice location
815 E Berry St
Suite a
Fortworth, TX 76110-4414
Mailing address
4514 Cole Ave Ste 910
Suite a
Dallas, TX 75205
Phone (214) 526-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216878301 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Navarro Orthodontics of Fortworth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fortworth, TX
- NPI 1093038333
Locations
815 E Berry St
Ste A
Fort Worth, TX 76110
Phone (817) 916-5820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1982921060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 COLE AVE STE 910",
"address_2": "SUITE A",
"city": "DALLAS",
"state": "TX",
"postal_code": "75205",
"telephone_number": "214-526-3363",
"fax_number": "214-520-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E BERRY ST",
"address_2": "SUITE A",
"city": "FORTWORTH",
"state": "TX",
"postal_code": "761104414",
"telephone_number": "817-916-5820",
"fax_number": "817-916-5822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVARRO ORTHODONTICS OF FORTWORTH,",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-28",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "NAVARRO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-526-3363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S, M.S.D"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "14228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216878301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fortworth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.