Organization Active NPI

Aspire Orthodontics, PC

Doing business as Aspire Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ooltewah, TN
National Provider Identifier
1306172960
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8131 Issued in TN
Legal business name
ASPIRE ORTHODONTICS, PC
Doing business as
Aspire Orthodontics
Practice address
5913 Ooltewah Ringgold Rd # 103
Ooltewah, TN 37363-7809
Phone
(423) 238-1494
Fax
(423) 238-1495
NPI assigned
Nov 2, 2009
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Michael Grey Weathersby, DDS, MDS
Title
Shareholder
Phone
(423) 238-1494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8131 TN Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2561 TN

Addresses

Primary practice location

5913 Ooltewah Ringgold Rd # 103
Ooltewah, TN 37363-7809

Mailing address

5913 Ooltewah Ringgold Rd # 103
Ooltewah, TN 37363-7809
Phone (423) 238-1494

Other identifiers 3

IdentifierTypeStateIssuer
5441630OtherTNTENNCARE
1515343MedicaidTN
3207077OtherTNTENNCARE

Other names 1

  • Aspire Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aspire Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1306172960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 OOLTEWAH RINGGOLD RD # 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637809",
            "telephone_number": "423-238-1494",
            "fax_number": "423-238-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 OOLTEWAH RINGGOLD RD # 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637809",
            "telephone_number": "423-238-1494",
            "fax_number": "423-238-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "WEATHERSBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREY",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "423-238-1494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8131",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "2561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "5441630",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515343",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "3207077",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.