Kim Fretty Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KIM FRETTY ORTHODONTICS PLLC

Doing business as

Hut
Hutto Orthodontics

Practice address

6989 Highlands LN
Tyler, TX 75703-0639

Phone

(903) 561-7873

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Corneil Kimberly Fretty

Title

President

Phone

(903) 918-2519

Specialties & licenses 1

Addresses

Other names 2

• Hut Doing business as
• Hutto Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1083264378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6989 HIGHLANDS LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030639",
            "telephone_number": "903-561-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6989 HIGHLANDS LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030639",
            "telephone_number": "903-561-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FRETTY ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "FRETTY",
        "authorized_official_first_name": "CORNEIL",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-918-2519",
        "authorized_official_name_prefix": "Dr."
    },
    "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": [
        {
            "organization_name": "Hut",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hutto Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janaki Khot
• Gregory D Kiblinger, M.D.
• Dianna Lynn Kidwell, APRN, AGACNP-BC
• Kirby Kile, CRNA
• Charla Raeann Killian, M.A., LPC
• Cassie Kim
• Elijah Kim, DO
• Hyeon Seok Kim, DDS
• John D Kim, DMD
• Anna C Kimberley

• Orthodontics and Dentofacial Orthopedics Dentistry in Tyler, TX
• Providers in Tyler, 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 Sep 18, 2019; 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.