Organization Active NPI

Uncommon Orthodontics by William a. Pickard, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Joplin, MO
National Provider Identifier
1023557766
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
UNCOMMON ORTHODONTICS BY WILLIAM A. PICKARD, DDS, MS, PLLC
Practice address
2330 S Range Line Rd Ste E
Joplin, MO 64804-3267
Phone
(417) 625-1114
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mrs. Mary Ann Pickard
Title
Owner
Phone
(417) 625-1114

Specialties & licenses 1

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

Addresses

Primary practice location

2330 S Range Line Rd Ste E
Joplin, MO 64804-3267

Mailing address

2330 S Range Line Rd Ste E
Joplin, MO 64804-3267
Phone (417) 625-1114

National Provider Directory

National Provider Directory

Locations

2330 S Range Line Rd
Ste E
Joplin, MO 64804
Phone (417) 625-1114

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1023557766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S RANGE LINE RD STE E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043267",
            "telephone_number": "417-625-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S RANGE LINE RD STE E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043267",
            "telephone_number": "417-625-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCOMMON ORTHODONTICS BY WILLIAM A. PICKARD, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-625-1114",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.