Individual provider Active NPI

Chad Leon Orlich, D.M.D

  • Periodontics
  • Austin, TX
National Provider Identifier
1437383684
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
25950 Issued in TX
Practice address
5805 Bullard Dr
Austin, TX 78757-4403
Phone
(512) 740-0867
NPI assigned
May 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17995 FL
Periodontics 1223P0300X 25950 TX Primary

Addresses

Primary practice location

5805 Bullard Dr
Austin, TX 78757-4403

Mailing address

5805 Bullard Dr
Austin, TX 78757-4403
Phone (512) 740-0867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN17995FLMDDentist
25950TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1437383684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 BULLARD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787574403",
            "telephone_number": "512-740-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 BULLARD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787574403",
            "telephone_number": "512-740-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLICH",
        "first_name": "CHAD",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-03",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17995",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "25950",
            "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 Apr 4, 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.