Engilman Orthodontics - Lagrange

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENGILMAN ORTHODONTICS - LAGRANGE

Practice address

2005 S Highway 53
Suite B
La Grange, KY 40031-9109

Phone

(502) 222-4613

Fax

(502) 225-0882

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

Locations

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": "1104090091",
    "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": "502-222-4613",
            "fax_number": "502-225-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S HIGHWAY 53",
            "address_2": "SUITE B",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319109",
            "telephone_number": "502-222-4613",
            "fax_number": "502-225-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGILMAN ORTHODONTICS - LAGRANGE",
        "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"
        }
    ]
}

• Veronica Edwards, FNP
• Katherine K Effinger
• Rusty Todd Ellis, M.D.
• Empowered Minds Institute
• Michelle Theresa Engelhardt, M.D.
• Morgan Epperson, M.S. CCC/SLP
• Madison Grace Estes, PHARMD
• Colby Slone Euton, OTR/L
• Trevor James Evans
• Margaret Ruth Favata, LPCC

• Dental Clinic/Center in La Grange, KY
• Providers in La Grange, 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.