OrganizationActive
Ikids Pediatric Dentistry Fort Worth, P.C.
NPI 1710250097 · Pediatric Dentistry · Fort Worth, TX
Ikids Pediatric Dentistry Fort Worth, P.C. is a Pediatric Dentistry organization in Fort Worth, TX (NPI 1710250097).
Provider details
- NPI number
- 1710250097
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alyssa Aguilar, Director of Revenue & Credentialing(817) 466-8554
- License
- 24272 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4504 W Vickery Blvd
Fort Worth, TX 76107
Phone: (817) 453-2800
Street-level locationGet directions
Mailing address
2500 E Broad St Ste 204
Mansfield, TX 76063-4361
Registry dates
- Enumerated
- 2012-02-16
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Frequently asked questions
- What is Ikids Pediatric Dentistry Fort Worth, P.C.'s NPI number?
- Ikids Pediatric Dentistry Fort Worth, P.C.'s National Provider Identifier (NPI) is 1710250097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ikids Pediatric Dentistry Fort Worth, P.C.?
- Ikids Pediatric Dentistry Fort Worth, P.C. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Ikids Pediatric Dentistry Fort Worth, P.C. located?
- Ikids Pediatric Dentistry Fort Worth, P.C.'s practice location on file with NPPES is 4504 W Vickery Blvd, Fort Worth, TX 76107.
- What is Ikids Pediatric Dentistry Fort Worth, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Ikids Pediatric Dentistry Fort Worth, P.C. is (817) 453-2800.
- Who is the authorized official for Ikids Pediatric Dentistry Fort Worth, P.C.?
- The authorized official listed on Ikids Pediatric Dentistry Fort Worth, P.C.'s NPPES record is Alyssa Aguilar, Director of Revenue & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ikids Pediatric Dentistry Fort Worth, P.C.'s NPI active?
- Yes — Ikids Pediatric Dentistry Fort Worth, P.C.'s NPI (1710250097) is active in the NPPES registry as of the last update on 2021-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.