FORT WORTH CHILDRENS DENTISTRY
NPI 1295046415
Dentist - Pediatric Dentistry in Benbrook, TX

NPI Status: Active since June 23, 2010

Contact Information

4200 BRYANT IRVIN RD STE 129
BENBROOK, TX
ZIP 76109
Phone: (817) 569-6633
Fax: (817) 569-6636

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 45D2241413
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-27-2025

About FORT WORTH CHILDRENS DENTISTRY

This page provides the complete NPI Profile along with additional information for Fort Worth Childrens Dentistry, a provider established in Benbrook, Texas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1295046415 assigned on June 2010. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jack W Morrow D.d.s., M.s.d. (Dentist)

NPI
1295046415
Provider Name
FORT WORTH CHILDRENS DENTISTRY
Entity Type
Organization
Location Address
4200 BRYANT IRVIN RD STE 129 BENBROOK, TX 76109
Location Phone
(817) 569-6633
Location Fax
(817) 569-6636
Mailing Address
4200 BRYANT IRVIN RD STE 129 BENBROOK, TX 76109
Mailing Phone
(817) 569-6633
Mailing Fax
(817) 569-6636
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2010
Last Update Date
06-23-2010
Code Navigator

A dentist like Fort Worth Childrens Dentistry 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. JACK W MORROW D.D.S., M.S.D.

Authorized Official Title
DENTIST
Authorized Official Phone
(817) 569-6633

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2241413
Facility Type
School/Student Health Service
Certificate Effective Date
October 28, 2023
Certificate Expiration Date
October 27, 2025
Laboratory Director
ANIKA L. PERKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fort Worth Childrens Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295046415, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 0 + 4 + 1 + 2 + 4 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1295046415.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295046415, enumerated as an "organization" on June 23, 2010.

The provider is located at 4200 BRYANT IRVIN RD STE 129 BENBROOK, TX 76109 and the phone number is (817) 569-6633.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.