Orthodontic Associates of the Southern Tier P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

033848 Issued in NY

Legal business name

ORTHODONTIC ASSOCIATES OF THE SOUTHERN TIER P.C.

Practice address

440 E Water St
Elmira, NY 14901-3411

Phone

(607) 733-7163

Fax

(607) 737-6227

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald M. Bellohusen, DMDNPI 1992813836

Title

President

Phone

(607) 733-7163

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald M. Bellohusen, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elmira, NY
  • NPI 1992813836
  NPD (past) Authorized official
• Jason T Horn, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elmira, NY
  • NPI 1922087980
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467481002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013411",
            "telephone_number": "607-733-7163",
            "fax_number": "607-737-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013411",
            "telephone_number": "607-733-7163",
            "fax_number": "607-737-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC ASSOCIATES OF THE SOUTHERN TIER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLOHUSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-733-7163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "033848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony F Oliva, DO
• Anjolaoluwa A Oluyede, MD
• Emily A Oparil, LPN
• Oral Maxillofacial Surgery of the Southern Tier, PC
• Carlos Ortega Ceballo
• Orthopedic and Sports Therapy Associates, LLP
• Kaitlin Osburn, SLP
• Sarah Jessica Osburn
• Bryan Osgood, OTR/L
• Meaghan Osterhout, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Elmira, NY
• Providers in Elmira, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.