NPIMap

Organization Active NPI

Willow Bend Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
National Provider Identifier
1003242660
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
27174 Issued in TX
Legal business name
WILLOW BEND ORTHODONTICS, PLLC
Practice address
5400 W Plano Pkwy Ste 250
Plano, TX 75093-4854
Phone
(972) 732-1400
Fax
(972) 732-1535
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Tamara Lynnette Jones, D.D.S, M.S.D.
Title
Officer
Phone
(972) 732-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 27174 TX Primary

Addresses

Primary practice location

5400 W Plano Pkwy Ste 250
Plano, TX 75093-4854

Mailing address

5400 W Plano Pkwy Ste 250
Plano, TX 75093-4854
Phone (972) 732-1400

Other names 1

  • Willow Bend Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5400 W Plano Pkwy
Ste 250
Plano, TX 75093
Phone (972) 732-1400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1003242660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W PLANO PKWY STE 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934854",
            "telephone_number": "972-732-1400",
            "fax_number": "972-732-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W PLANO PKWY STE 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934854",
            "telephone_number": "972-732-1400",
            "fax_number": "972-732-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BEND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNNETTE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-732-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Bend Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.