Organization Active NPI

Speck Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
National Provider Identifier
1275646895
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12153 Issued in TX
Legal business name
SPECK ORTHODONTICS PA
Practice address
5335 Edloe
Houston, TX 77005
Phone
(713) 668-6778
Fax
(713) 668-0702
NPI assigned
Aug 17, 2006
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Don T Speck, DDS
Title
President
Phone
(713) 668-6778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 4683 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 12153 TX Primary

Addresses

Primary practice location

5335 Edloe
Houston, TX 77005

Mailing address

5335 Edloe
Houston, TX 77005
Phone (713) 668-6778

National Provider Directory

National Provider Directory

Locations

5335 Edloe St
Houston, TX 77005
Phone (713) 668-6778

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1275646895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 EDLOE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77005",
            "telephone_number": "713-668-6778",
            "fax_number": "713-668-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 EDLOE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77005",
            "telephone_number": "713-668-6778",
            "fax_number": "713-668-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECK ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-668-6778",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "4683",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.