Lewisville Orthodontic Arts

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30523 Issued in TX

Legal business name

LEWISVILLE ORTHODONTIC ARTS

Practice address

2520 King Arthur Blvd
Suite 105
Lewisville, TX 75056-6081

Phone

(972) 899-1465

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Glenn Krieger

Title

Manager

Phone

(972) 899-1465

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Ian Ballou, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lewisville, TX
  • NPI 1083942627
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1073064465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 KING ARTHUR BLVD",
            "address_2": "SUITE 105",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 KING ARTHUR BLVD",
            "address_2": "SUITE 105",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566081",
            "telephone_number": "972-899-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE ORTHODONTIC ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-899-1465"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewisville Family Dental PLLC
• Lewisville Internal Medicine Associates PLLC
• Lewisville Isd
• Lewisville LD, LLC
• Lewisville Medical Center LLC
• Lewisville Pulmonary Associates, PA
• Lewisville Smiles, P.L.L.C
• Lewisville Surgery Center, LLC
• Lewisville Surgicare Partners, LTD
• Mario Albert Leza Jr., D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.