Kerrville Orthodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KERRVILLE ORTHODONTICS, PLLC

Practice address

1700 Sidney Baker St Ste 200
Kerrville, TX 78028-2682

Phone

(830) 355-4488

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Joanna AyalaNPI 1730327578

Title

Owner

Phone

(210) 632-4560

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joanna Cristine Ayala, D.M.D.

  • Pediatric Dentistry
  • Laredo, TX
  • NPI 1730327578
  NPD (past) Authorized official
• Vishal Panchmatia, D.M.D.

  • Pediatric Dentistry
  • Kerrville, TX
  • NPI 1528346996
  NPD (past)

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1093572901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520356",
            "telephone_number": "121-063-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SIDNEY BAKER ST STE 200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282682",
            "telephone_number": "830-355-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-632-4560"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrville Independent School District
• Kerrville Mec, LP
• Kerrville Nursing and Rehab Center LLC
• Kerrville Operations LLC
• Kerrville Oral & Maxillofacial Surgery, P.a.
• Kerrville Pediatric Dentistry, PLLC
• Kerrville Pediatrics
• Kerrville Physical Therapy Center LLC
• Kerrville Physical Therapy Home Health Services
• Megan Kathleen Kester

• Dental Clinic/Center in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Dental Clinic/Center in Texas

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