NPIMap

Organization Active NPI

Alla Alexis Shrager, DMD PA

Doing business as Champion Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
National Provider Identifier
1093496911
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ALLA ALEXIS SHRAGER, DMD PA
Doing business as
Champion Orthodontics
Land Orthodontics
Practice address
8331 Bandford Way Ste 105
Raleigh, NC 27615-2765
Phone
(919) 847-7200
Fax
(919) 847-7391
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Alla Alexis Shrager, DMDNPI 1215128343
Title
Owner/Orthodontist
Phone
(412) 720-9277

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 MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8331 Bandford Way Ste 105
Raleigh, NC 27615-2765

Mailing address

8331 Bandford Way Ste 105
Raleigh, NC 27615-2765

Other practice location 1

12470 Spruce Tree Way
100
Raleigh, NC 27614
Phone (919) 847-7200

Other practice location 2

30 S Dunn Street
Angier, NC 27501
Phone (919) 847-7200

Other names 2

  • Champion Orthodontics Doing business as
  • Land Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1093496911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 BANDFORD WAY STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 BANDFORD WAY STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152765",
            "telephone_number": "919-847-7200",
            "fax_number": "919-847-7391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12470 Spruce Tree Way",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27614",
            "country_code": "US",
            "telephone_number": "919-847-7200",
            "fax_number": "919-847-7391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Dunn Street",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "27501",
            "country_code": "US",
            "telephone_number": "919-847-7200",
            "fax_number": "919-847-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLA ALEXIS SHRAGER, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "SHRAGER",
        "authorized_official_first_name": "ALLA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "412-720-9277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Land Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.