Active NPI
San Marcos Orthodontics PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chandler, AZ
National Provider Identifier
1093817421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D4690
- Legal business name
- SAN MARCOS ORTHODONTICS PLLC
- Doing business as
- Serrano & Kyger Orthodontics
- Practice address
- 800 W. Chandler Blvd
Ste 5
Chandler, AZ 85225-2508 - Phone
- (480) 899-1633
- Fax
- (480) 786-3647
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- A Paul Serrano, DDS
- Title
- Officer Owner
- Phone
- (480) 899-1633
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D2814 | AZ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D4690 | AZ | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
800 W. Chandler Blvd
Ste 5
Chandler, AZ 85225-2508
Mailing address
800 W. Chandler Blvd
Ste 5
Chandler, AZ 85225-2508
Phone (480) 899-1633
Other names 1
- Serrano & Kyger Orthodontics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Phoenix, AZ
- NPI 1366783060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1093817421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W. CHANDLER BLVD",
"address_2": "STE 5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252508",
"telephone_number": "480-899-1633",
"fax_number": "480-786-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W. CHANDLER BLVD",
"address_2": "STE 5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252508",
"telephone_number": "480-899-1633",
"fax_number": "480-786-3647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN MARCOS ORTHODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "SERRANO",
"authorized_official_first_name": "A",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OFFICER OWNER",
"authorized_official_telephone_number": "480-899-1633",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D2814",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D4690",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serrano & Kyger Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.