Organization Active NPI

Viva Orthodontics PLLC

  • Dentist
  • Dallas, TX
National Provider Identifier
1376862722
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on May 25, 2010

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.