City Hall Dental PL

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16446 Issued in FL

Legal business name

CITY HALL DENTAL PL

Doing business as

Dr Phillips Dental Specialists

Practice address

3311 Daniels Rd
Ste 104
Winter Garden, FL 34787-7000

Phone

(407) 656-0990

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CHAMPION ORTHODONTICS PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alla Alexis Shrager, DMD

Title

Orthodontist

Phone

(407) 351-5691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Phillips Dental Specialists Doing business as

Part of

Champion Orthodontics

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Champion Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Garden, FL
  • NPI 1154512515
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1003110115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-351-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 DANIELS RD",
            "address_2": "STE 104",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877000",
            "telephone_number": "407-656-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HALL DENTAL PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMPION ORTHODONTICS PA",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "SHRAGER",
        "authorized_official_first_name": "ALLA ALEXIS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "407-351-5691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE STATE OF FLORIDA",
            "identifier": "DN16446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Phillips Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Christy, LCSW
• Chrysalis Center for Autism Corp
• Yoo Jin Chung, DMD
• Katherine Cinquino
• Imara Cisneros, LMHC
• City of Winter Garden (Winter Garden Fire Rescue Department)
• Abbey Lynn Clark, ARNP
• Gretchen Marie Clark, OTR/L
• Carol L Clarke, LPN
• Ivie Claudio, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.