COUNTRY DAY DENTAL (NPI# 1003186495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003186495 |
| Entity Type | Organization |
| Organization Name | COUNTRY DAY DENTAL |
| Practice Address |
4255 Bryant Irvin Rd Suite 111 Fort Worth TX 76109-4233 |
| Practice Telephone | 8177319487 |
| Practice Fax Number | 8177312846 |
| Mailing Telephone | 8177319487 |
| Mailing Fax Number | 8177312846 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | DR. RICHARD SCOTT MCDONALD (OWNER/DENTIST) |
| Authorized Official Telephone | 8177319487 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12997 | TX | Ambulatory Health Care Facilities |
| Street Address |
4255 BRYANT IRVIN RD SUITE 111 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434359 | Richard Scott Mcdonald | Dentist | 4255 Bryant Irvin Rd, Ste 111, Fort Worth, TX 76109-4233 | 2005-08-17 |
| 1487215737 | Clearfork Academy | Clinic/Center | 4255 Bryant Irvin Rd, Fort Worth, TX 76109-4233 | 2019-06-27 |
| 1578019535 | Acddc Enterprises Inc | Chiropractor | 4255 Bryant Irvin Rd, 101, Fort Worth, TX 76109-4233 | 2016-08-30 |
| 1417305731 | Margaret A. Hernandez | Reflexologist | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2016-05-26 |
| 1073973723 | Manuel Aranguren | Massage Therapist | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2016-02-23 |
| 1730473984 | Suzanne Kay Melton | Counselor | 4255 Bryant Irvin Rd, #101, Fort Worth, TX 76109-4233 | 2011-06-06 |
| 1992016372 | Jcf Counseling Services, Pllc | Counselor | 4255 Bryant Irvin Rd, Suite 101, Fort Worth, TX 76109-4233 | 2010-06-30 |
| 1598085672 | Country Place Counseling, Pllc | Social Worker | 4255 Bryant Irvin Rd, Suite 101, Fort Worth, TX 76109-4233 | 2010-06-10 |
| 1619291697 | Athena Marie Payne | Chiropractor | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2010-03-20 |
| 1336471598 | Laurie Dy'ona Cedeno | Chiropractor | 4255 Bryant Irvin Rd, Ste 108, Fort Worth, TX 76109-4233 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933115 | Smiles of Fort Worth, LLC | Clinic/Center | 5601 Bridge St Ste 480, Fort Worth, TX 76112-2351 | 2019-07-15 |
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1710460688 | Reliable Dentistry Pllc | Clinic/Center | 5228 Sycamore School Road, #108, Fort Worth, TX 76123-7612 | 2018-09-07 |
| 1972001048 | Fort Worth Dental Care Pllc | Clinic/Center | 3646 Granbury Rd # 104, Fort Worth, TX 76109-3717 | 2018-01-24 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1871002261 | Smile Ninja, Pllc | Clinic/Center | 220 E Seminary Dr Ste 100, Fort Worth, TX 76115-2653 | 2017-09-28 |
| 1538689799 | Mini Joseph Dds Pllc | Clinic/Center | 2977 South Precinct Line Road, Suite 213, Fort Worth, TX 76118-7611 | 2017-06-20 |
| 1578010179 | Mint Dentistry, Pllc | Clinic/Center | 2700 Horne Street, Suite 120, Fort Worth, TX 76107 | 2016-09-01 |
| 1962859884 | Mint Dentistry, Pllc | Clinic/Center | 3829 E Loop 820 S, Fort Worth, TX 76119-4339 | 2016-05-20 |
| 1013382001 | Brown Family Dentistry | Clinic/Center | 4004 White Settlement Rd, Fort Worth, TX 76107-1162 | 2015-12-02 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on COUNTRY DAY DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.