Active NPI
Champion Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winter Garden, FL
National Provider Identifier
1154512515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN 16446
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
dba Dr Phillips Dental Specialists
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winter Garden, FL
- NPI 1003110115
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
- Centerwell Senior Primary Care FL JV PLLC (CenterWell Senior Primary Care of Winter Garden)
- Central Florida Senior Living LLC (Golden Pond Communities)
- Central Florida Wellness LLC
- Alexandra Marie Chalmers, PA-C
- Craig C Chambers, PTA
- Michelle Meizhong Chan, PHARMD
- Evan Paige Chastain, ARNP
- Christina Cheeseman, DO
- Karina Cuentro Chernacov, LMHC
- Nicholas Chin
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.