Bozeman Trail Orthodontics PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

546 Issued in WY

Legal business name

BOZEMAN TRAIL ORTHODONTICS PC

Practice address

932 South David St
Casper, WY 82601

Phone

(307) 237-8419

Fax

(307) 234-4912

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Lewis Wetzel Jr., DDSNPI 1629244637

Title

President

Phone

(307) 237-8419

Specialties & licenses 1

Addresses

Locations

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.

• James Lewis Wetzel Jr., D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Casper, WY
  • NPI 1629244637
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467561167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SOUTH DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SOUTH DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN TRAIL ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-237-8419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Lavaughn Bowman
• Stacey Frances Bowman, PCSW-1151
• Wendy Bowman, RN
• Edward Bowron, DPT
• Laura Elizabeth Boyd, DVM
• Luke Edwin Bracke, M.D.
• Braden Partners LP (Pacific Pulmonary Service)
• Harold Bradshaw
• Shreya Brahmbhatt, NP
• Brain Injury Association of Wyoming (Brain Injury Advocates of Wyoming)

• Dental Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Dental Clinic/Center in Wyoming

• 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.