NPIMap

Organization Active NPI

Orthodontix LTD of South East El Paso, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1134490741
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIX LTD OF SOUTH EAST EL PASO, PLLC
Practice address
7878 Gateway Blvd E Ste 300
El Paso, TX 79915-1802
Phone
(915) 595-1200
Fax
(915) 590-9708
NPI assigned
Jan 13, 2012
Organization subpart
Yes
Parent organization
NATIONAL ORTHODONTIX MGMT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
John G Vondrak, DDS
Title
Owner
Phone
(915) 595-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7878 Gateway Blvd E Ste 300
El Paso, TX 79915-1802

Mailing address

7878 Gateway Blvd E Ste 300
El Paso, TX 79915-1802
Phone (915) 595-1200

Other names 1

  • Sun Orthodontix Doing business as

National Provider Directory

National Provider Directory
Part of
National Orthodontix Management LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1134490741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 GATEWAY BLVD E STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151802",
            "telephone_number": "915-595-1200",
            "fax_number": "915-590-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 GATEWAY BLVD E STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151802",
            "telephone_number": "915-595-1200",
            "fax_number": "915-590-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIX LTD OF SOUTH EAST EL PASO, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL ORTHODONTIX MGMT, PLLC",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "VONDRAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-595-1200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Orthodontix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.