KENNETH DEAN ARCHER (NPI# 1083654123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654123 |
| Entity Type | Individual |
| Full Name | KENNETH DEAN ARCHER |
| Credential | MD |
| Practice Address |
7630 N Beach St Ste 140 Fort Worth TX 76137 |
| Mailing Address |
5751 Kroger Dr Ste 113 Fort Worth TX 76244-5633 |
| Practice Telephone | 8172812977 |
| Practice Fax Number | 8177882530 |
| Mailing Telephone | 8176918711 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L7965 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184653706 | 05 | |
| TX | 184653704 | 05 | |
| TX | 184653705 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7630 N Beach St Ste 140, Fort Worth, TX 761373016 | 8172812977 | 8177882530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154413789 | Kenneth Purdy Archer | Family Medicine | 1003 Division Street, Suite # 3, Prescott, AZ 86301-1657 | 2006-09-29 |
| Street Address |
7630 N BEACH ST STE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381541 | Kevin Andrew Kuenstler | Family Medicine | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2006-01-25 |
| 1083259022 | Kathleen Durham Daigle | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2019-11-13 |
| 1053952499 | Nicole Marie Johnson | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2019-10-07 |
| 1699275255 | Jamil Waters | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2018-02-20 |
| 1790155620 | Rebecca Hawthorne | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2015-10-05 |
| 1174917116 | Eric Hames | Family Medicine | 7630 N Beach St Ste 140, Fort Worth, TX 76137 | 2015-03-27 |
| 1043625296 | Staci Sutton | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2014-06-26 |
| 1134417298 | Jonathan Flores | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2011-07-11 |
| 1487961181 | James Alan Burke | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2010-09-02 |
| 1750442711 | Rafael L Rodriguez | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1952870354 | Nancy Carolina Nicoloso | Family Medicine | 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 | 2018-11-15 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| 1609307115 | Yara Hamade Gonzales | Family Medicine | 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 | 2017-03-26 |
| 1558732321 | Andres Morgado Perez | Family Medicine | 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 | 2015-10-19 |
| 1114304805 | Davis Wellness Ltd LLP | Family Medicine | 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 | 2015-05-01 |
| 1902298417 | Jack Lynwood Judson, Md | Family Medicine | 1800 Malibar Rd, Fort Worth, TX 76116-1834 | 2015-02-21 |
| 1104243468 | Henry Dollahite | Family Medicine | 6205 Locke Ave, Fort Worth, TX 76116-4636 | 2014-03-25 |
| 1447676689 | Janet Shackelford | Family Medicine | 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 | 2014-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
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| 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.