Organization Active NPI

David B. Jolley, DMD, Ms, PLLC

Doing business as Jolleytime Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corpus Christi, TX
National Provider Identifier
1063950467
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31849 Issued in TX
Legal business name
DAVID B. JOLLEY, DMD, MS, PLLC
Doing business as
Jolleytime Orthodontics
Practice address
5756 S Staples St Ste A3
Corpus Christi, TX 78413-3782
Phone
(361) 993-2333
Fax
(361) 993-3200
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Dr. David Jolley, D.M.D., M.S.NPI 1104234632
Title
Orthodontist / Owner
Phone
(702) 875-3212

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 31849 TX Primary

Addresses

Primary practice location

5756 S Staples St Ste A3
Corpus Christi, TX 78413-3782

Mailing address

5756 S Staples St Ste A3
Corpus Christi, TX 78413-3782
Phone (361) 993-2333

Other names 1

  • Jolleytime Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5756 S Staples St
Ste A3
Corpus Christi, TX 78413
Phone (361) 993-2333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1063950467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST STE A3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-993-2333",
            "fax_number": "361-993-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST STE A3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-993-2333",
            "fax_number": "361-993-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. JOLLEY, DMD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ORTHODONTIST / OWNER",
        "authorized_official_telephone_number": "702-875-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "31849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jolleytime Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.