EASTCHASE MIGHTY PLLC (NPI# 1821620121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821620121 |
| Entity Type | Organization |
| Organization Name | EASTCHASE MIGHTY PLLC |
| Practice Address |
8430 East Fwy # 115 Fort Worth TX 76120-4428 |
| Practice Telephone | 2144931216 |
| Practice Fax Number | 2142422006 |
| Mailing Telephone | 2144931216 |
| Mailing Fax Number | 2142422006 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | NINA ABTAHI (MANGER) |
| Authorized Official Telephone | 2144931216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mighty Smiles | Doing Business As Name - Organization |
| Street Address |
8430 EAST FWY # 115 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76120-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| 1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
| 1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
| 1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
| 1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
| Find all providers in zip 76120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1770118911 | Dentists At Chisholm Trail, PC | Dentist | 9604 Ten Gallon Dr, Fort Worth, TX 76123-2186 | 2020-03-09 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1730733171 | Andrea Uglem | Dentist | 2700 Horne St Ste 120, Fort Worth, TX 76107-4604 | 2019-07-24 |
| 1790338325 | Mint Dentistry Pllc | Dentist | 3901 West Fwy Ste 113, Fort Worth, TX 76107-5654 | 2019-07-23 |
| 1124671094 | Emily Jane Creighton | Dentist | 1100 S Lake St, Fort Worth, TX 76104-4374 | 2019-07-19 |
| 1356903843 | Audrey Morrison | Dentist | 2925 Oak Park Cir Ste 100, Fort Worth, TX 76109-1867 | 2019-07-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76120 |
Please comment or provide details below to improve the information on EASTCHASE MIGHTY PLLC.
| 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.