Organization Active NPI

Op Orthodontics of Kentucky PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bowling Green, KY
National Provider Identifier
1164200580
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OP ORTHODONTICS OF KENTUCKY PLLC
Practice address
727 U.S. 31-W Bypass
Suite 113
Bowling Green, KY 42101
Phone
(270) 843-8556
NPI assigned
Sep 18, 2023
Organization subpart
Yes
Parent organization
OP ORTHODONTICS OF KENTUCKY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Stacy Pope
Title
Project Manager
Phone
(616) 283-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

727 U.S. 31-W Bypass
Suite 113
Bowling Green, KY 42101

Mailing address

5300 Patterson Ave SE Ste 110
Grand Rapids, MI 49512-9758
Phone (616) 283-8867

Other practice location 1

203 Professional Park Dr
Glasgow, KY 42141-3486
Phone (270) 651-6862

Other practice location 2

324 S Main St
Franklin, KY 42134-2220
Phone (270) 568-7444

Other names 1

  • Drobocky Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Op Orthodontics of Kentucky PLLC

Locations

727 US 31W Byp
Ste 113
Bowling Green, KY 42101
Phone (270) 843-8556

324 S Main St
Franklin, KY 42134
Phone (270) 568-7444

Practitioners & affiliated clinicians

Practitioners 1

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1164200580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 U.S. 31-W BYPASS",
            "address_2": "SUITE 113",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-843-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413486",
            "country_code": "US",
            "telephone_number": "270-651-6862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Main St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "KY",
            "postal_code": "421342220",
            "country_code": "US",
            "telephone_number": "270-568-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OP ORTHODONTICS OF KENTUCKY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OP ORTHODONTICS OF KENTUCKY PLLC",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drobocky Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drobocky Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.