SMILES OF FORT WORTH, LLC (NPI# 1750933115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750933115 |
| Entity Type | Organization |
| Organization Name | SMILES OF FORT WORTH, LLC |
| Practice Address |
5601 Bridge St Ste 480 Fort Worth TX 76112-2351 |
| Mailing Address |
Po Box 4400 Salem OR 97302-8400 |
| Practice Telephone | 8174574078 |
| Mailing Telephone | 8174574078 |
| Mailing Fax Number | 8177988912 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | JESUS ALVARADO (OFFICE MANAGER) |
| Authorized Official Telephone | 8144574078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5601 BRIDGE ST STE 480 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1952748295 | Dr. Christopher Kim, Dds, Pa | Clinic/Center | 8455 Boat Club Rd, Suite 175, Fort Worth, TX 76179-3632 | 2013-05-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
Please comment or provide details below to improve the information on SMILES OF FORT WORTH, LLC.
| 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.