ELLIS TOOTH FAIRY PLLC
NPI 1063251171
Dentist - General Practice in Fort Worth, TX

NPI Status: Active since May 20, 2024

Contact Information

2725 ELLIS AVE
FORT WORTH, TX
ZIP 76164
Phone: (646) 262-6648
Fax: (646) 262-6648

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About ELLIS TOOTH FAIRY PLLC

This page provides the complete NPI Profile along with additional information for Ellis Tooth Fairy Pllc, a provider established in Fort Worth, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1063251171 assigned on May 2024. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. Ellis Tooth Fairy Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Yuexi Chen Dds (Mananger)

NPI
1063251171
Provider Name
ELLIS TOOTH FAIRY PLLC
Entity Type
Organization
Location Address
2725 ELLIS AVE FORT WORTH, TX 76164
Location Phone
(646) 262-6648
Location Fax
(646) 262-6648
Mailing Address
12070 BROWNWOOD DR FRISCO, TX 75035
Mailing Phone
(646) 262-6648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2024
Last Update Date
05-20-2024
Code Navigator

A dentist like Ellis Tooth Fairy Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YUEXI CHEN DDS

Authorized Official Title
MANANGER
Authorized Official Phone
(646) 262-6648

Reviews for ELLIS TOOTH FAIRY PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063251171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123452114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 5 + 2 + 1 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1063251171 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831640044ELLIS DENTAL LLC
Organization
Dentist (General Practice)2725 ELLIS AVE SUITE B
FORT WORTH, TX 76164
(817) 801-9500
1518434570SOH OF TEXAS SAMSON LIU PLLC
Organization
Dentist2725 ELLIS AVE
FORT WORTH, TX 76164
(817) 759-9858
1679234496DENTAL CHOICE 2 PLLC
Organization
Clinic/Center (Dental)2725 ELLIS AVE
FORT WORTH, TX 76164
(817) 759-9858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063251171, enumerated in the NPI registry as an "organization" on May 20, 2024

The provider is located at 2725 Ellis Ave Fort Worth, Tx 76164 and the phone number is (646) 262-6648

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: DentaQuest USA Insurance Company, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 20, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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