Organization Active NPI

TC Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CO
National Provider Identifier
1245699586
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00202076 Issued in CO
Legal business name
TC ORTHODONTICS, PLLC
Practice address
311 S Teller St
Lakewood, CO 80226-7387
Phone
(303) 233-2445
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Timothy Charles Hardy
Title
President
Phone
(303) 233-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DEN.00202076 CO Primary

Addresses

Primary practice location

311 S Teller St
Lakewood, CO 80226-7387

Mailing address

311 S Teller St
Lakewood, CO 80226-7387

Other identifiers 1

IdentifierTypeStateIssuer
09772561MedicaidCO

Other names 1

  • Belmar Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Belmar Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1245699586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S TELLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S TELLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267387",
            "telephone_number": "303-233-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-233-2445"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00202076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09772561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmar Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.