Engilman Orthodontics - Shelbyville

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENGILMAN ORTHODONTICS - SHELBYVILLE

Doing business as

Braces Braces Braces

Practice address

1415 Main Street
Shelbyville, KY 40065-8126

Phone

(502) 633-4613

Fax

(502) 633-0048

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Stephen James

Title

Cfo

Phone

(502) 254-8504

Specialties & licenses 1

Addresses

Other names 1

• Braces Braces Braces Doing business as

Practitioners 1

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

• Jean Anne Jensen, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shelbyville, KY
  • NPI 1114022548
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1083888978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-633-4613",
            "fax_number": "502-633-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN STREET",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658126",
            "telephone_number": "502-633-4613",
            "fax_number": "502-633-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGILMAN ORTHODONTICS - SHELBYVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braces Braces Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Elmore
• Brandon Scott Embry
• Christa Emerich
• David Michael Emerich, MS, CCC
• Margaret Schmidt Endris, PA-C
• Lori England
• James William Erikson, PH.D.
• Laura Escobar
• Lynsey Estienne, M.S. OTR/L
• Jessica Jane Eugenio, DMD

• Dental Clinic/Center in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.