Celebraces Walzem PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24904 Issued in TX

Legal business name

CELEBRACES WALZEM PLLC

Practice address

5201 Walzem Rd
Windcrest, TX 78218-2122

Phone

(210) 683-6353

Fax

(210) 451-0000

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

David B Ferguson, DDS, CAGS

Title

Managing Officer

Phone

(210) 683-6353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1487038428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-683-6353",
            "fax_number": "210-451-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-683-6353",
            "fax_number": "210-451-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES WALZEM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "210-683-6353",
        "authorized_official_credential": "DDS, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Marcel Bottoms, DDS
• Khamerance Bullocks, CHW
• Alexander Michael Burger, DDS
• Jessica Canlas-Doan, DO
• Melissa Jeanette Castillo, CPHT
• Sheri Chase, FNP
• Anna Marie Chavez
• Benjamin Vinh Chung, DDS
• Claudia Lydia Cisneros-Tabares, LCSW
• Rosa Luinda Combs, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.