Organization Active NPI

Myorthos Pennsylvania Orthodontics PC

Doing business as Orthodontics Limited

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
National Provider Identifier
1457011082
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Doing business as
Orthodontics Limited
Practice address
2137 Welsh Rd Ste 1B
Philadelphia, PA 19115-4963
Phone
(215) 676-7846
NPI assigned
Dec 22, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

2137 Welsh Rd Ste 1B
Philadelphia, PA 19115-4963

Mailing address

131 Dartmouth St FL 3
Boston, MA 02116-5297

Other practice location 1

122 N York Rd Ste 10
Hatboro, PA 19040-2622
Phone (215) 675-0542

Other names 1

  • Orthodontics Limited Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Pennsylvania Orthodontics PC6 organizations share this tax ID, including this one
Part of
Myorthos Pennsylvania Orthodontics PC

Other organizations with this tax ID 5

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

Locations

122 N York Rd
Ste 10
Hatboro, PA 19040
Phone (215) 675-0542

2137 Welsh Rd
Ste 1B
Philadelphia, PA 19115
Phone (215) 676-7846

Practitioners & affiliated clinicians

Practitioners 4

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": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1457011082",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 WELSH RD STE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154963",
            "telephone_number": "215-676-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 N York Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190402622",
            "country_code": "US",
            "telephone_number": "215-675-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS PENNSYLVANIA ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS PENNSYLVANIA ORTHODONTICS PC",
        "enumeration_date": "2021-12-22",
        "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": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics Limited",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthodontics Limited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • 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.