Organization Active NPI

Comfort Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, TX
National Provider Identifier
1013547116
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
COMFORT ORTHODONTICS PC
Practice address
1702 US Highway 181 Ste A8
Portland, TX 78374-3588
Phone
(361) 643-2255
Fax
(361) 643-2288
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Luz Fernandez
Title
Authorized Representative
Phone
(915) 274-7071

Specialties & licenses 1

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

Addresses

Primary practice location

1702 US Highway 181 Ste A8
Portland, TX 78374-3588

Mailing address

1702 US Highway 181 Ste A8
Portland, TX 78374-3588
Phone (361) 643-2255

Other names 1

  • Dolphin Braces Doing business as

National Provider Directory

National Provider Directory

Locations

1702 US Highway 181
Ste A8
Portland, TX 78374
Phone (361) 643-2255

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1013547116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 US HIGHWAY 181 STE A8",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743588",
            "telephone_number": "361-643-2255",
            "fax_number": "361-643-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 US HIGHWAY 181 STE A8",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743588",
            "telephone_number": "361-643-2255",
            "fax_number": "361-643-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "915-274-7071"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dolphin Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dolphin Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.