Organization Active NPI

Circle C Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1417385360
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25048 Issued in TX
Legal business name
CIRCLE C ORTHODONTICS, PLLC
Practice address
5700 W Slaughter LN
Ste 300
Austin, TX 78749-6520
Phone
(512) 394-0930
Fax
(512) 394-0946
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Jonathon Kimes, D.D.S.NPI 1477864775
Title
Orthodontist
Phone
(512) 394-0930

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 25048 TX Primary

Addresses

Primary practice location

5700 W Slaughter LN
Ste 300
Austin, TX 78749-6520

Mailing address

5700 W Slaughter LN
Ste 300
Austin, TX 78749-6520
Phone (512) 394-0930

National Provider Directory

National Provider Directory

Locations

5700 W Slaughter Ln
Ste 300
Austin, TX 78749
Phone (512) 394-0930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1417385360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W SLAUGHTER LN",
            "address_2": "STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496520",
            "telephone_number": "512-394-0930",
            "fax_number": "512-394-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W SLAUGHTER LN",
            "address_2": "STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496520",
            "telephone_number": "512-394-0930",
            "fax_number": "512-394-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE C ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "512-394-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.