Organization Active NPI

Manor Orthodontic Associates, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manor, TX
National Provider Identifier
1275890865
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12117 Issued in TX
Legal business name
MANOR ORTHODONTIC ASSOCIATES, P.A.
Practice address
13419 US Highway 290 E
Building #9
Manor, TX 78653-4589
Phone
(512) 417-9101
Fax
(888) 247-4008
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Don Hartsfield, DDS
Title
President
Phone
(512) 417-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12117 TX Primary

Addresses

Primary practice location

13419 US Highway 290 E
Building #9
Manor, TX 78653-4589

Mailing address

8900 Lone Tree Dr
Manor, TX 78653-4843
Phone (512) 417-9101

Other names 1

  • Manor Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

13419 US Highway 290 E
Bldg 9
Manor, TX 78653
Phone (512) 417-9101

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1275890865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 LONE TREE DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534843",
            "telephone_number": "512-417-9101",
            "fax_number": "888-248-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 US HIGHWAY 290 E",
            "address_2": "BUILDING #9",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534589",
            "telephone_number": "512-417-9101",
            "fax_number": "888-247-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR ORTHODONTIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "HARTSFIELD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-417-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "12117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.