Tag Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TAG ORTHODONTICS PLLC

Doing business as

Celebrating Smiles

Practice address

402 3Rd St
Ithaca, NY 14850-3484

Phone

(607) 272-3921

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

TAG ORTHODONTICS PLLCAs reported in NPPES

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

Addresses

Other names 1

• Celebrating Smiles Doing business as

Tax ID family

Tag Orthodontics PLLC3 organizations share this tax ID, including this one

Part of

Tag Orthodontics PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tag Orthodontics PLLC

  dba Paciorek Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Camillus, NY
  • NPI 1316725096
  NPD tax ID
• Tag Orthodontics PLLC

  dba Get It Straight Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pittsford, NY
  • NPI 1619755386
  NPD tax ID

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1215715990",
    "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": "402 3RD ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503484",
            "telephone_number": "607-272-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Church St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130452886",
            "country_code": "US",
            "telephone_number": "607-753-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAG ORTHODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAG ORTHODONTICS PLLC",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "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": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrating Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin L Swanstrom, PA-C
• Stephanie Swearingen
• Josh Swiller, LMSW, BCT
• Lynn B Swisher, M.D.
• Laura Jeanne Syvertson, LCSW
• Jennifer L Taggart, RPH
• Pamela Louise Talbott, LCSW
• Lindsay Brianne Tamborelle, M.D.
• Dalya Tamir, LMSW
• Anna Tamis, PH.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.