DR. FREDERICK L SPRADLEY (NPI# 1538600382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538600382 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK L SPRADLEY |
| Credential | D.D.S. AND M.S.D. |
| Practice Address |
4763 Barwick Dr Suite 107 Fort Worth TX 76132-1500 |
| Practice Telephone | 8172945021 |
| Practice Fax Number | 8172949310 |
| Mailing Telephone | 8172945021 |
| Mailing Fax Number | 8172949310 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11859 | TX | Dental Providers |
| Street Address |
4763 BARWICK DR SUITE 107 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531889 | Robert Marshall Johnson | Podiatrist | 4763 Barwick Dr, Suite 101, Fort Worth, TX 76132-1500 | 2005-10-10 |
| 1619159134 | Overton Speech and Language Center | Speech-Language Pathologist | 4763 Barwick Dr, Suite 103, Fort Worth, TX 76132-1500 | 2007-11-27 |
| 1003938333 | Fred L. Spradley, D.d.s., M.s.d., P.a. | Dentist | 4763 Barwick Dr, Suite 107, Fort Worth, TX 76132-1500 | 2007-04-06 |
| 1326015439 | Victoria Maria Fleming Severns | Speech-Language Pathologist | 4763 Barwick Dr, Overton Speech and Language Center, Fort Worth, TX 76132-1531 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1447898093 | Evan Perkins | Dentist | 4763 Barwick Dr Ste 107, Fort Worth, TX 76132-1531 | 2019-12-13 |
| 1578060943 | Irish Abigail Martinez Tongco | Dentist | 3201 Western Center Blvd Ste 115, Fort Worth, TX 76137-7135 | 2018-04-11 |
| 1306227731 | Lustig and Young Orthodontics | Dentist | 8450 Park Vista Blvd, Fort Worth, TX 76137-5731 | 2015-06-11 |
| 1588087027 | Nicole Mahoney | Dentist | 9040 Hawley Dr, Fort Worth, TX 76244-6120 | 2014-02-03 |
| 1841545597 | Braces R Us PC | Dentist | 8337 Summer Park Dr, Fort Worth, TX 76123-1991 | 2012-07-18 |
| 1063798718 | Timber Creek Orthodontics, P.a. | Dentist | 12650 N Beach St, Suite 100, Fort Worth, TX 76244-4243 | 2011-10-26 |
| 1134449663 | Access Orthodontics of Berry, P.a. | Dentist | 4201 E Berry St, Suite #15, Fort Worth, TX 76105-5053 | 2010-06-07 |
| 1528211406 | Jacksboro Smiles By Wire, Pllc | Dentist | 2480 Jacksboro Hwy, Fort Worth, TX 76114-2201 | 2008-10-23 |
| 1366605719 | William G Paulus Dds Ms Inc | Dentist | 4901 Byers Ave, Fort Worth, TX 76107 | 2008-07-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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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.