Trussville Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5656 Issued in AL

Legal business name

TRUSSVILLE ORTHODONTICS LLC

Practice address

4643 Camp Coleman Rd
Trussville, AL 35173-2821

Phone

(205) 655-0603

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sara Wolfe Spector

Title

Member

Phone

(205) 655-0603

Specialties & licenses 1

Addresses

Other names 1

• Orthodontics East Doing business as

Locations

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1366783151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732821",
            "telephone_number": "205-655-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732821",
            "telephone_number": "205-655-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSSVILLE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-655-0603",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Trussville, AL
• Providers in Trussville, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.