Active NPI
Viva Orthodontics PLLC
- Dentist
- Dallas, TX
National Provider Identifier
1376862722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- VIVA ORTHODONTICS PLLC
- Practice address
- 3306 W Camp Wisdom Rd
Suite 100a
Dallas, TX 75237-2596 - Phone
- (972) 709-4867
- NPI assigned
- May 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Pu
- Title
- Cfo
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3306 W Camp Wisdom Rd
Suite 100a
Dallas, TX 75237-2596
Mailing address
7301 State Highway 161
Suite 198
Irving, TX 75039-2816
Phone (972) 869-3789
National Provider Directory
National Provider DirectoryLocations
3306 W Camp Wisdom Rd
Ste 100A
Dallas, TX 75237
Phone (972) 709-4867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1376862722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 STATE HIGHWAY 161",
"address_2": "SUITE 198",
"city": "IRVING",
"state": "TX",
"postal_code": "750392816",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 W CAMP WISDOM RD",
"address_2": "SUITE 100A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372596",
"telephone_number": "972-709-4867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVA ORTHODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "PU",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.