Wilbraham Orthodontics PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19247 Issued in MA

Legal business name

WILBRAHAM ORTHODONTICS PC

Practice address

3 Crane Park Dr
Wilbraham, MA 01095-1787

Phone

(413) 596-9657

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Margolis, DDS, PHDNPI 1184634479

Title

President

Phone

(413) 596-9657

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, and the practitioner matching its NPPES authorized official.

• Michael Jonathan Margolis, D.D.S., PH.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilbraham, MA
  • NPI 1184634479
  NPD (past) Authorized official
• Allison Greenberg, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Avon, CT
  • NPI 1104380740
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1114362738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRANE PARK DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951787",
            "telephone_number": "413-596-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRANE PARK DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951787",
            "telephone_number": "413-596-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBRAHAM ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-596-9657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "19247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Whipple, LATC
• Sarah Magdalen White, MSPT
• Wilbraham Dental Associates, LLC
• Wilbraham Family Dentistry, LLC
• Wilbraham Medical Investors LP (Life Care Center of Wilbraham)
• William D Welch Jr (Wilbraham Family Chiropractic)
• Wingate at Wilbraham, Inc. (Wingate at Wilbraham Rehab. & Skilled Nsg. Residence)
• Martha Woodard, PSY.D.
• Rosemary Wrona, PT
• Deborah A Yesu, PSY.D.

• Dental Clinic/Center in Wilbraham, MA
• Providers in Wilbraham, MA by specialty
• Dental Clinic/Center in Massachusetts

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