GREAT EXPRESSION SMILES
NPI 1568873677
Preferred Provider Organization in Fort Worth, TX

NPI Status: Active since May 12, 2014

Contact Information

6426 MEADOWBROOK DR
FORT WORTH, TX
ZIP 76112
Phone: (817) 496-2343
Fax: (817) 665-3822

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  • Preferred Provider Organization

About GREAT EXPRESSION SMILES

This page provides the complete NPI Profile along with additional information for Great Expression Smiles, a provider established in Fort Worth, Texas operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1568873677 assigned on May 2014. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Great Expression Smiles. The authorized official of this NPI record is Mr. Tri Pham Dds (President)

NPI
1568873677
Provider Legal Name
GREAT EXPRESSION SMILES
Other Organization Name
GREAT EXPRESSION SMILES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6426 MEADOWBROOK DR FORT WORTH, TX 76112
Location Phone
(817) 496-2343
Location Fax
(817) 665-3822
Mailing Address
6426 MEADOWBROOK DR FORT WORTH, TX 76112
Mailing Phone
(817) 496-2343
Mailing Fax
(817) 665-3822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2014
Last Update Date
05-12-2014
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. TRI PHAM DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(817) 496-2343

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
202009121MEDICAID (05)TX 

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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.
1568873677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281676614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 7 + 6 + 6 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1568873677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417252008ABC 123 DENTAL CENTERS PROFESSIONAL
Organization
Dentist (General Practice)6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1235540253GREAT EXPRESSION SMILES
Organization
Preferred Provider Organization6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1750769071GREAT EXPRESSION SMILES
Organization
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1538549183DR. CYNTHIA SIN-AE KWON DDS
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(469) 386-7211
1669831467 JAMIE J CHUNG D.D.S.
Individual
Dentist (General Practice)6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1558597641 PETER VO DDS
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1003480583DR. JEUNG CHO DMD
Individual
Dentist (General Practice)6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1033819966 MICHAEL SOLIMAN
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1407556418 TRINH DINH DDS
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 953-3206
1407556541MS. CHRISTINE TRAM NGUYEN DDS
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1770952814AFFORDABLE DENTIST NEAR ME PLLC
Organization
Clinic/Center (Dental)6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1558597963DR. TRI HUU PHAM DDS
Individual
Dentist (Oral and Maxillofacial Surgery)6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 496-2343
1841995578 MADISON E JENKINS
Individual
Dentist6426 MEADOWBROOK DR
FORT WORTH, TX 76112
(817) 953-3206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568873677, enumerated in the NPI registry as an "organization" on May 12, 2014

The provider is located at 6426 Meadowbrook Dr Fort Worth, Tx 76112 and the phone number is (817) 496-2343

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 12, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.