Organization Active NPI

Dr Ben Deheshi Orthopedics PLLC

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1992263628
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR BEN DEHESHI ORTHOPEDICS PLLC
Practice address
3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643
Phone
(817) 322-7867
Fax
(817) 322-7861
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Benjamin Deheshi, MDNPI 1447774997
Title
Owner
Phone
(817) 807-3511

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643

Mailing address

PO Box 300, State St #92845
Southlake, TX 76104
Phone (817) 322-7867

Other practice location 1

1615 Lancaster Dr Ste 107
Grapevine, TX 76051-2111
Phone (817) 332-7867

Other practice location 2

1001 12th Ave Ste 171
Fort Worth, TX 76104-3926
Phone (817) 332-7867

Other practice location 3

902 Preskitt Rd Ste 100
Decatur, TX 76234-4123
Phone (817) 332-7867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424000329 TX Part B Supplier - Clinic/Group Practice 1759623713 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, TX; Southlake, TX; Grapevine, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

909 9th Ave
Ste 200
Ft Worth, TX 76104
Phone (817) 332-9359

Practitioners & affiliated clinicians

Practitioners 4

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1992263628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300, STATE ST #92845",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-322-7867",
            "fax_number": "817-322-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 N TARRANT PKWY STE 520",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778643",
            "telephone_number": "817-322-7867",
            "fax_number": "817-322-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Lancaster Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760512111",
            "country_code": "US",
            "telephone_number": "817-332-7867",
            "fax_number": "817-332-7861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 12th Ave Ste 171",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043926",
            "country_code": "US",
            "telephone_number": "817-332-7867",
            "fax_number": "817-332-7861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Preskitt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762344123",
            "country_code": "US",
            "telephone_number": "817-332-7867",
            "fax_number": "817-332-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR BEN DEHESHI ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "DEHESHI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-807-3511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.