NPIMap

Organization Active NPI

Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC

Doing business as Heetland and Heetland Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wichita Falls, TX
National Provider Identifier
1356210538
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC
Doing business as
Heetland and Heetland Orthodontics
Practice address
2211 Midwestern Pkwy Ste 1
Wichita Falls, TX 76308-2300
Phone
(940) 691-2911
NPI assigned
Nov 4, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Krystal Richardson
Title
Director of RCM
Phone
(214) 934-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2211 Midwestern Pkwy Ste 1
Wichita Falls, TX 76308-2300

Mailing address

820 W 42ND St
Scottsbluff, NE 69361-4708
Phone (308) 260-0241

Other names 1

  • Heetland and Heetland Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC2 organizations share this tax ID, including this one
Part of
Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC

Other organizations with this tax ID 1

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

Locations

2211 Midwestern Pkwy
Ste 1
Wichita Falls, TX 76308
Phone (940) 691-2911

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 3

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": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1356210538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614708",
            "telephone_number": "308-260-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MIDWESTERN PKWY STE 1",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082300",
            "telephone_number": "940-691-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "214-934-7995"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heetland and Heetland Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.