Engilman Orthodontics - Jefferson

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENGILMAN ORTHODONTICS - JEFFERSON

Doing business as

Braces Braces Braces

Practice address

4801 Outer Loop A206
Louisville, KY 40219-3201

Phone

(502) 961-0351

Fax

(502) 968-3136

NPI assigned

Feb 5, 2008

Last updated

Jun 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen James

Title

Cfo

Phone

(502) 254-8504

Specialties & licenses 1

Addresses

Other names 1

• Braces Braces Braces Doing business as

Locations

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1184802860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-961-0351",
            "fax_number": "502-968-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 OUTER LOOP A206",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193201",
            "telephone_number": "502-961-0351",
            "fax_number": "502-968-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGILMAN ORTHODONTICS - JEFFERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braces Braces Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Eng, OTR/L
• Mary Eng, MD
• Julia Engel
• Linda A Engel, L.C.S.W.
• Nicole Marion Engelhardt, MS GC
• Engilman Orthodontics PLLC (Braces Braces Braces)
• Brenna N England, LCADC
• Deborah J England, APRN, FNP-BC
• Sarah England
• Shannon England, APRN

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.