Tolleson Orthodontics PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TOLLESON ORTHODONTICS PLLC

Practice address

1050 E State Highway 114
Ste 120
Southlake, TX 76092-5253

Phone

(817) 416-2200

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Shane Tolleson

Title

Owner

Phone

(817) 416-2200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1114358876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E STATE HIGHWAY 114",
            "address_2": "STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925253",
            "telephone_number": "817-416-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E STATE HIGHWAY 114",
            "address_2": "STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925253",
            "telephone_number": "817-416-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLLESON ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "TOLLESON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-416-2200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Todd, MSN, APRN, FNP-C
• Toledo Clinic Incorporated
• Sara Suzanne Toler, FNP
• Heidi Gerlinde Toll, RN, CPN
• Russell Tennyson Toll, PHD
• Kennady Tooke
• Robin Lynn Toon
• Kaitlin Torres
• Miriam M. Torres, M.D.
• Kevin Mu Tou, M.D.

• Dentist in Southlake, TX
• Providers in Southlake, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.