Child Study Center

Public-record details

Address

1300 W Lancaster Ave, Fort Worth, TX 76102

Phone

(817) 390-2904

Listed under

Practices and organizations

NPI

1467621045

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Pediatric Dentistry (1223P0221X)

License number on NPI record

22961 (TX)

Authorized official

Cory Rhoades, Chief Financial Officer

NPI first issued

Feb 27, 2008

Years since NPI first issued

18 years (since 2008)

License state on NPI record

TX

NPI record last updated

Dec 12, 2022

Pediatric dentistry listings at this street address

1 (only this one)

NPI 1467621045 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license 22961 (TX) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.

View NPI 1467621045 in the official registry ↗