NPIMap

Organization Active NPI

Moore & Bodine Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waxahachie, TX
National Provider Identifier
1164038345
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MOORE & BODINE ORTHODONTICS, PLLC
Practice address
1320 Ferris Ave
Waxahachie, TX 75165-1862
Phone
(972) 937-0424
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Dr. Trevor Bodine, DDS, MSNPI 1467723684
Title
Member
Phone
(972) 741-6282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1320 Ferris Ave
Waxahachie, TX 75165-1862

Mailing address

1320 Ferris Ave
Waxahachie, TX 75165-1862
Phone (972) 937-0424

Other practice location 1

225 George Hopper Rd
Midlothian, TX 76065-5521
Phone (972) 937-0424

Other names 1

  • Moor & Bodine Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1320 Ferris Ave
Waxahachie, TX 75165
Phone (972) 937-0424

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1164038345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 FERRIS AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651862",
            "telephone_number": "972-937-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 FERRIS AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651862",
            "telephone_number": "972-937-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 George Hopper Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760655521",
            "country_code": "US",
            "telephone_number": "972-937-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOORE & BODINE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BODINE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-741-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "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": "Moor & Bodine Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.