Organization Active NPI

Champion Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garland, TX
National Provider Identifier
1265997555
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHAMPION ORTHODONTICS, PLLC
Practice address
7030 N Shiloh Rd Unit 180
Garland, TX 75044-2913
Phone
(972) 474-7724
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Thinh Pham, DDS
Title
Owner
Phone
(972) 474-7724

Specialties & licenses 1

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

Addresses

Primary practice location

7030 N Shiloh Rd Unit 180
Garland, TX 75044-2913

Mailing address

7030 N Shiloh Rd Unit 180
Garland, TX 75044-2913
Phone (972) 474-7724

National Provider Directory

National Provider Directory

Locations

7030 N Shiloh Rd
Unit 180
Garland, TX 75044
Phone (972) 474-7724

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1265997555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 N SHILOH RD UNIT 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442913",
            "telephone_number": "972-474-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 N SHILOH RD UNIT 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442913",
            "telephone_number": "972-474-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-474-7724",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.