Organization Active NPI

Noble Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burlington, WI
National Provider Identifier
1295382992
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NOBLE ORTHODONTICS, LLC
Practice address
109 N Dodge St
Burlington, WI 53105-1918
Phone
(262) 342-6496
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Brian Patrick Lablonde, DDS MSD MS
Title
LLC Members
Phone
(317) 965-0810

Specialties & licenses 1

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

Addresses

Primary practice location

109 N Dodge St
Burlington, WI 53105-1918

Mailing address

109 N Dodge St
Burlington, WI 53105-1918
Phone (262) 342-6496

Other names 1

  • Greenleaf Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

109 N Dodge St
Burlington, WI 53105
Phone (262) 342-6496

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1295382992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N DODGE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051918",
            "telephone_number": "262-342-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N DODGE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051918",
            "telephone_number": "262-342-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LABLONDE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "LLC MEMBERS",
        "authorized_official_telephone_number": "317-965-0810",
        "authorized_official_credential": "DDS MSD MS"
    },
    "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": "Greenleaf Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, WI

Sources for this page

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