NPIMap

Organization Active NPI

Image Orthodontics PC

  • Dental Clinic/Center
  • West Lafayette, IN
National Provider Identifier
1063768471
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54001743A Issued in IN
Legal business name
IMAGE ORTHODONTICS PC
Practice address
1748 Northwestern Ave
West Lafayette, IN 47906-2271
Phone
(765) 463-6622
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Ryan Bradley Helms, DDS MSDNPI 1851679906
Title
President
Phone
(765) 490-1031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54001743A IN Primary

Addresses

Primary practice location

1748 Northwestern Ave
West Lafayette, IN 47906-2271

Mailing address

1748 Northwestern Ave
West Lafayette, IN 47906-2271
Phone (765) 463-6622

National Provider Directory

National Provider Directory

Locations

1748 Northwestern Ave
West Lafayette, IN 47906
Phone (765) 463-6622

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1063768471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 NORTHWESTERN AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062271",
            "telephone_number": "765-463-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NORTHWESTERN AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062271",
            "telephone_number": "765-463-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-490-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54001743A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.