Progressive Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2013009439 Issued in MO

Legal business name

PROGRESSIVE ORTHODONTICS LLC

Practice address

3306 Emerald LN
Jefferson City, MO 65109-6880

Phone

(573) 206-8777

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Senthil N Arun, BDS, DMD, MSD, PH D

Title

Orthodontist

Phone

(706) 288-7538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1003283904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 EMERALD LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096880",
            "telephone_number": "573-206-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 EMERALD LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096880",
            "telephone_number": "573-206-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ARUN",
        "authorized_official_first_name": "SENTHIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "706-288-7538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DMD, MSD, PH D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2013009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.