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DENTISTS AT CHISHOLM TRAIL
NPI 1770118911
Dentist - General Practice in Fort Worth, TX

Active since March 09, 2020CLIA 45D2321138 · Waiver
9604 TEN GALLON DR, FORT WORTH, TX 76123(817) 803-4362(817) 803-4090 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dentists At Chisholm Trail NPPES

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

DENTISTS AT CHISHOLM TRAIL (NPI 1770118911) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Joyanna Hoffman, Owner, as its authorized official.

NPPES Registry Identity

NPI1770118911
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTISTS AT CHISHOLM TRAIL, PC
Location Address9604 TEN GALLON DRFort Worth, TX 76123-2186
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(817) 803-4362
Fax(817) 803-4090
Organization SubpartNo
Authorized OfficialJoyanna HoffmanOwner · (817) 803-4362
Enumeration DateMarch 9, 2020
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1770118911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
9604 TEN GALLON DR, Fort Worth, TX 76123
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Other Names 1

Doing Business AsDentists At Chisholm Trail

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2321138

Dentists At Chisholm Trail · Fort Worth, TX
Active · expires Mar 30, 2027
CLIA Number45D2321138
Laboratory TypePractitioner Other
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorJoyanna Joffman
Laboratory Phone(817) 803-4362
Laboratory LocationDentists At Chisholm Trail9604 Ten Gallon Dr, Fort Worth, TX 76123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

VICTORIA NGUYEN DMD
Dentist
9604 TEN GALLON DR
FORT WORTH, TX 76123
Tarrant County (817) 803-4362
DR. AUDRA LEIGH MCCORMICK
Dentist
9604 TEN GALLON DR
FORT WORTH, TX 76123
Tarrant County (817) 803-4362
RAMA ALZHELE DMD
Dentist (General Practice)
9604 TEN GALLON DR
FORT WORTH, TX 76123
Tarrant County (817) 803-4362
DR. JASMINE KAUR BAINS
Dentist
9604 TEN GALLON DR
FORT WORTH, TX 76123
Tarrant County (817) 803-4362

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 Dentists At Chisholm Trail, PC's NPI number?

The NPI number for Dentists At Chisholm Trail, PC is 1770118911. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider is doing business as Dentists At Chisholm Trail.

Where is Dentists At Chisholm Trail, PC located?

Dentists At Chisholm Trail, PC is located at 9604 Ten Gallon Dr, Fort Worth, TX 76123. The listed phone number is (817) 803-4362.

What is Dentists At Chisholm Trail, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Dentists At Chisholm Trail, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2321138) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dentists At Chisholm Trail, PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Dentists At Chisholm Trail, PC 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 Dentists At Chisholm Trail, PC was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.