NPIMap

Organization Active NPI

National Orthodontix Management, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corpus Christi, TX
National Provider Identifier
1306898481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13047 Issued in TX
Legal business name
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Practice address
1620 S Padre Island Dr
Suite 230B
Corpus Christi, TX 78416-1353
Phone
(361) 853-1900
Fax
(361) 853-1904
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John G. Vondrak, DDS
Title
Operating Manager
Phone
(361) 853-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 13047 TX Primary

Addresses

Primary practice location

1620 S Padre Island Dr
Suite 230B
Corpus Christi, TX 78416-1353

Mailing address

1620 S Padre Island Dr
Suite 230B
Corpus Christi, TX 78416-1353
Phone (361) 853-1900

Other identifiers 1

IdentifierTypeStateIssuer
820296OtherTXUNITED CONCORDIA

Other names 1

  • Orthodontix, LTD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Orthodontix Management LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306898481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S PADRE ISLAND DR",
            "address_2": "SUITE 230B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784161353",
            "telephone_number": "361-853-1900",
            "fax_number": "361-853-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S PADRE ISLAND DR",
            "address_2": "SUITE 230B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784161353",
            "telephone_number": "361-853-1900",
            "fax_number": "361-853-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ORTHODONTIX MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONDRAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "361-853-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "820296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontix, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.