NPIMap

Organization Active NPI

Reznik Orthodontics, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Odessa, TX
National Provider Identifier
1386897916
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11123 Issued in TX
Legal business name
REZNIK ORTHODONTICS, LLP
Practice address
3831 E 52ND St
Odessa, TX 79762-4762
Phone
(432) 333-7105
Fax
(432) 333-9490
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Michael Louis Reznik, D.D.S.NPI 1174523799
Title
Partner
Phone
(432) 333-7105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 11123 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 23423 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 23067 TX

Addresses

Primary practice location

3831 E 52ND St
Odessa, TX 79762-4762

Mailing address

3831 E 52ND St
Odessa, TX 79762-4762
Phone (432) 333-7105

National Provider Directory

National Provider Directory

Locations

3831 E 52nd St
Odessa, TX 79762
Phone (432) 333-7105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1386897916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 E 52ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624762",
            "telephone_number": "432-333-7105",
            "fax_number": "432-333-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E 52ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624762",
            "telephone_number": "432-333-7105",
            "fax_number": "432-333-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZNIK ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "432-333-7105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11123",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23423",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.