Booth Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D009378 Issued in AZ

Legal business name

BOOTH ORTHODONTICS PLLC

Practice address

10 N Alamos Dr
Cottonwood, AZ 86326-4072

Phone

(928) 634-2121

Fax

(928) 634-4141

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Paul Booth, DMD, MS

Title

Owner

Phone

(928) 634-2121

Specialties & licenses 1

Addresses

Other names 1

• Verde Valley Orthodontics Doing business as

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023535002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N ALAMOS DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264072",
            "telephone_number": "928-634-2121",
            "fax_number": "928-634-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N ALAMOS DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264072",
            "telephone_number": "928-634-2121",
            "fax_number": "928-634-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-634-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D009378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verde Valley Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Michele Block, MD
• Sharon Adele Block, M.S.W.
• Lawrence Blumen, MD
• BNR Corporation
• Body Recovery Clinic
• Nicholas Paul Booth, DMD, MS
• Eleanor Hebert Bourque, FNP-C
• Allen D Boyd, MD
• Donna Louise Bozzolo, NP
• Nicole Marie Bradbury, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.