NPIMap

Organization Active NPI

National Orthodontix MGMT LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laredo, TX
National Provider Identifier
1376794537
Registry record updated Oct 7, 2008
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 MGMT LLC
Practice address
5711 McPherson Rd
Laredo, TX 78041-6837
Phone
(361) 853-1900
Fax
(361) 853-1904
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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
President
Phone
(361) 853-1900

Specialties & licenses 1

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

Addresses

Primary practice location

5711 McPherson Rd
Laredo, TX 78041-6837

Mailing address

5711 McPherson Rd
Laredo, TX 78041-6837
Phone (361) 853-1900

Other identifiers 3

IdentifierTypeStateIssuer
009297504MedicaidTX
730151713MedicaidTX
009297503MedicaidTX

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.

Locations

5711 McPherson Rd
Laredo, TX 78041
Phone (361) 853-1900

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1376794537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416837",
            "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": "5711 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416837",
            "telephone_number": "361-853-1900",
            "fax_number": "361-853-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ORTHODONTIX MGMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "VONDRAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009297504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730151713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009297503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontix LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.