NPI age
15 years
Enumerated 2011-02-28
● Active Type 2 · Organization
Crystal Dental Of Fort Worth, P.c.
Crystal Dental Of Fort Worth, P.c. is 1 of 278 preferred provider organization organizations in Texas.
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Le
Owner/dentist
Last NPPES update
2011-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 278 active preferred provider organization providers in Texas.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1114 E Seminary Dr
Fort Worth, TX 761152830
Mailing address
2880 Highway 157 N, Ste 102
Mansfield, TX 760638849
Authorized official
Brian T Le, DDS
Owner/dentist
📞 8177930013
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Brian Le, D.D.S. Dentist NPI 1730177619
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158687708 | |
| 05 (TX) | 175019201 | |
| 05 (TX) | 204803503 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.