NPIMap

Organization Active NPI

Myorthos Pennsylvania Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Exton, PA
National Provider Identifier
1265119820
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Practice address
132 John Robert Thomas Dr
Exton, PA 19341
Phone
(610) 363-2900
Fax
(610) 363-7722
NPI assigned
Jul 5, 2023
Organization subpart
Yes
Parent organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Casey Lonabocker
Title
VP Operations & Strategy
Phone
(617) 535-3364

Specialties & licenses 1

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

Addresses

Primary practice location

132 John Robert Thomas Dr
Exton, PA 19341

Mailing address

132 John Robert Thomas Dr
Exton, PA 19341
Phone (610) 363-2900

Other practice location 1

201 Darby Square
Elverson, PA 19520
Phone (610) 363-2900

Other names 1

  • Leiss Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Pennsylvania Orthodontics PC6 organizations share this tax ID, including this one
Part of
Myorthos Pennsylvania Orthodontics PC

Other organizations with this tax ID 5

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

Locations

132 John Robert Thomas Dr
Exton, PA 19341
Phone (610) 363-2900

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": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1265119820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-363-2900",
            "fax_number": "610-363-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-363-2900",
            "fax_number": "610-363-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Darby Square",
            "address_purpose": "LOCATION",
            "city": "Elverson",
            "state": "PA",
            "postal_code": "19520",
            "country_code": "US",
            "telephone_number": "610-363-2900",
            "fax_number": "610-363-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS PENNSYLVANIA ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS PENNSYLVANIA ORTHODONTICS PC",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "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": "Leiss Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leiss Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.