IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.
NPI 1710250097
Dentist - Pediatric Dentistry in Fort Worth, TX

Q: What is Ikids Pediatric Dentistry Fort Worth, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 16, 2012

4504 W VICKERY BLVD, FORT WORTH, TX 76107(817) 453-2800 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Aug 15, 2018 (2 updates tracked since 2018).

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About Ikids Pediatric Dentistry Fort Worth, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C. (NPI 1710250097) is a healthcare organization registered as a pediatric dentistry in Fort Worth, Texas and active in the NPI registry since February 2012. The organization lists Alyssa Aguilar, Director Of Revenue & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1710250097

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameIKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.

Location Address4504 W VICKERY BLVDFort Worth, TX 76107

Mailing Address2500 E Broad St Ste 204Mansfield, TX 76063-4361 · (817) 466-8554

Phone(817) 453-2800

Organization SubpartNo

Authorized OfficialAlyssa AguilarDirector Of Revenue & Credentialing · (817) 466-8554

Enumeration DateFebruary 16, 2012

Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1710250097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 24272

Definition

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.

4504 W VICKERY BLVD, Fort Worth, TX 76107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHREYA DIVYA LETTRE DDS

Dentist (Pediatric Dentistry)

4504 W VICKERY BLVD
FORT WORTH, TX 76107

Tarrant County (817) 332-0007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikids Pediatric Dentistry Fort Worth, P.C.'s NPI number?

The NPI number for Ikids Pediatric Dentistry Fort Worth, P.C. is 1710250097. It was assigned to this organization in the NPPES registry on February 16, 2012.

Where is Ikids Pediatric Dentistry Fort Worth, P.C. located?

Ikids Pediatric Dentistry Fort Worth, P.C. is located at 4504 W Vickery Blvd, Fort Worth, TX 76107. The listed phone number is (817) 453-2800.

What is Ikids Pediatric Dentistry Fort Worth, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Ikids Pediatric Dentistry Fort Worth, P.C. accept?

Health plans from UnitedHealthcare list Ikids Pediatric Dentistry Fort Worth, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ikids Pediatric Dentistry Fort Worth, P.C. was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.