OrganizationActive
Children'S Dental Services of Texas, PLLC
NPI 1699090100 · Pediatric Dentistry · Fort Worth, TX
Provider details
- NPI number
- 1699090100
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Zimmerman, Owner(817) 731-8600
- License
- 20465 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4545 Bellaire Dr S Ste 4
Fort Worth, TX 76109-1811
Phone: (817) 731-8600
Fax: (817) 207-0719
Street-level locationGet directions
Mailing address
Po Box 55367
Hurst, TX 76054-5367
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.