Myorthos Delaware Orthodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MYORTHOS DELAWARE ORTHODONTICS PA

Practice address

1405 Silverside Rd
Wilmington, DE 19810-4445

Phone

(302) 475-4102

NPI assigned

Aug 27, 2021

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MYORTHOS DELAWARE ORTHODONTICS PAAs reported in NPPES

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

Authorized official

Name

Casey Lonabocker

Title

VP Operations & Strategy

Phone

(617) 535-3364

Specialties & licenses 1

Addresses

Other names 1

• Greeley & Nista Other name

Tax ID family

Myorthos Delaware Orthodontics PA2 organizations share this tax ID, including this one

Part of

Myorthos Delaware Orthodontics PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Myorthos Delaware Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
  • NPI 1730850215
  NPD tax ID

Locations

Practitioners 3

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.

• Leah Sung Yi

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
  • NPI 1447788955
  NPD
• Mary Constance Bilotta, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
  • NPI 1447301106
  NPD (past)
• John Matthew Nista, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
  • NPI 1710038500
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1427725225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297",
            "telephone_number": "617-535-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104445",
            "telephone_number": "302-475-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Omega Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132063",
            "country_code": "US",
            "telephone_number": "302-292-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS DELAWARE ORTHODONTICS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS DELAWARE ORTHODONTICS PA",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "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": "Greeley & Nista",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Myers
• Renee M Myers, PT, DPT
• Susan P. Myers, APN
• Myeyedr Optometry of Delaware PA (MyEyeDr.)
• Myeyedr Optometry of Delaware PA (MyEyeDr.)
• N-P Consulting
• N. Barton & Associates Inc.
• Sera NA
• Naamans Dental LLC
• Naamas Road Dental

• Orthodontics and Dentofacial Orthopedics Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.