Organization Active NPI

O'Grady Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Rapids, MI
National Provider Identifier
1396758595
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
O'GRADY ORTHODONTICS, P.C.
Practice address
4027 Lake Drive SE
Suite 130
Grand Rapids, MI 49546-8812
Phone
(616) 949-2100
Fax
(616) 949-8239
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Paul William O'Grady, DDS MSNPI 1962586792
Title
Owner
Phone
(616) 949-2100

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 1

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

Addresses

Primary practice location

4027 Lake Drive SE
Suite 130
Grand Rapids, MI 49546-8812

Mailing address

4027 Lake Drive SE
Suite 130
Grand Rapids, MI 49546-8812
Phone (616) 949-2100

Other names 1

  • Scott & O'Grady Orthodontics, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

4027 Lake Dr SE
Ste 130
Grand Rapids, MI 49546
Phone (616) 949-2100

Practitioners & affiliated clinicians

Practitioners 1

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1396758595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 LAKE DRIVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468812",
            "telephone_number": "616-949-2100",
            "fax_number": "616-949-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 LAKE DRIVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468812",
            "telephone_number": "616-949-2100",
            "fax_number": "616-949-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'GRADY ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-949-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott & O'Grady Orthodontics, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.