Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124734041 Individual Practitioner Female Practitioner

Raina Dee Sobarzo

Dentist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Raina Sobarzo is a registered healthcare professional specializing in Dentist in Fort Worth, TX. Practice services are available at 4541 HERITAGE TRACE PKWY STE 1301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4541 Heritage Trace Pkwy Ste 1301

Fort Worth, TX 762448950

Telephone 8172031561
Fax 8179536340
Associated Practice Facility / Clinic
🏢 Vivid Dentistry Pllc Facility NPI 1992399422

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
157 Specialists

Practicing in Fort Worth, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 40880

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1821576521

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 26, 2026

Registered at 4541 HERITAGE TRACE PKWY STE 1301, FORT WORTH, TX 762448950 (Tel: 8172031561)

📍
Updated Business Mailing Address February 26, 2026

Registered at 4541 HERITAGE TRACE PKWY STE 1301, FORT WORTH, TX 762448950 (Tel: 8172031561)

📍
Updated Practice Location December 31, 2024

Registered at 5720 LOCKE AVE, FORT WORTH, TX 761075020 (Tel: 8177376601)

📍
Updated Business Mailing Address December 31, 2024

Registered at 5720 LOCKE AVE, FORT WORTH, TX 761075020 (Tel: 8177376601)

👤
Provider Name / Credentials Updated December 31, 2024

Recorded as RAINA SOBARZO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2024

Dentist (License #40880 in TX)

NPI Profile Active January 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2023

Registered at 3202 GASTON AVE, DALLAS, TX 75246 (Tel: 2148288215)

📍
Updated Business Mailing Address January 24, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013

👤
Provider Name / Credentials Updated January 24, 2023

Recorded as RAINA HARRELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124734041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2023
Last Update: February 26, 2026
Sole Proprietor: No

Mailing Address

4541 Heritage Trace Pkwy Ste 1301

Fort Worth, TX 762448950

Phone: 8172031561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.