Organization Active NPI

Champion Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Garden, FL
National Provider Identifier
1154512515
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 16446 Issued in FL
Legal business name
CHAMPION ORTHODONTICS
Practice address
3311 Daniels Rd
Ste 104
Winter Garden, FL 34787
Phone
(407) 992-9190
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Alla Alexis Shrager, DMD
Title
Orthodontist
Phone
(407) 992-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 16446 FL Primary

Addresses

Primary practice location

3311 Daniels Rd
Ste 104
Winter Garden, FL 34787

Mailing address

3311 Daniels Rd
Ste 104
Winter Garden, FL 34787
Phone (407) 992-9190

National Provider Directory

National Provider Directory

Locations

3311 Daniels Rd
Ste 104
Winter Garden, FL 34787
Phone (407) 656-0990

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1154512515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 DANIELS RD",
            "address_2": "STE 104",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-992-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 DANIELS RD",
            "address_2": "STE 104",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-992-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "SHRAGER",
        "authorized_official_first_name": "ALLA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "407-992-9190",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 16446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.