NPIMap

Organization Active NPI

Byczek Orthodontics, Inc.

Doing business as Logan Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Logan, OH
National Provider Identifier
1336980739
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BYCZEK ORTHODONTICS, INC.
Doing business as
Logan Orthodontics
Practice address
160 S Mulberry St
Logan, OH 43138-1292
Phone
(740) 385-8620
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BYCZEK ORTHODONTICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Ewa Teresa Byczek, DDSNPI 1306016928
Title
President
Phone
(614) 718-2222

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 NU Primary

Addresses

Primary practice location

160 S Mulberry St
Logan, OH 43138-1292

Mailing address

6890 Perimeter Dr Ste B
Dublin, OH 43016-8079
Phone (614) 332-0277

Other names 1

  • Logan Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Byczek Orthodontics Inc4 organizations share this tax ID, including this one
Part of
Byczek Orthodontics Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1336980739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 PERIMETER DR STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168079",
            "telephone_number": "614-332-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S MULBERRY ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381292",
            "telephone_number": "740-385-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYCZEK ORTHODONTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BYCZEK ORTHODONTICS, INC.",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BYCZEK",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-718-2222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.