NPIMap

Organization Active NPI

Travers Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irving, TX
National Provider Identifier
1306952734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18779 Issued in TX
Legal business name
TRAVERS ORTHODONTICS PA
Practice address
1105 Kinwest Parkway
Ste 105
Irving, TX 75063
Phone
(972) 910-8202
Fax
(972) 910-8203
NPI assigned
Aug 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Kimberly H Travers, DDS MSNPI 1053850248
Title
President
Phone
(972) 910-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 18779 TX Primary

Addresses

Primary practice location

1105 Kinwest Parkway
Ste 105
Irving, TX 75063

Mailing address

1105 Kinwest Parkway
Ste 105
Irving, TX 75063
Phone (972) 910-8202

Other names 1

  • Kimberly H Travers DDS MS Other name

National Provider Directory

National Provider Directory

Locations

1105 Kinwest Pkwy
Ste 105
Irving, TX 75063
Phone (972) 910-8202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306952734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 KINWEST PARKWAY",
            "address_2": "STE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-910-8202",
            "fax_number": "972-910-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 KINWEST PARKWAY",
            "address_2": "STE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-910-8202",
            "fax_number": "972-910-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERS ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-910-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly H Travers DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, 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.