The Orthodontic Care Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3019 Issued in WI

Legal business name

THE ORTHODONTIC CARE CENTER

Practice address

1421 S 108 Street
West Allis, WI 53214-4012

Phone

(414) 771-5100

Fax

(414) 771-2513

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Kumar V Iyer, DDSNPI 1215157862

Title

President Orthodontist

Phone

(414) 771-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kumar V. Iyer, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Allis, WI
  • NPI 1215157862
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487738068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S 108 STREET",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-771-5100",
            "fax_number": "414-771-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S 108 STREET",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-771-5100",
            "fax_number": "414-771-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHODONTIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT ORTHODONTIST",
        "authorized_official_telephone_number": "414-771-5100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33448200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyesha Thames, LPN
• Mai Tong Thao
• The CV Collection
• The Home Care Agency, Inc.
• The Medical College of Wisconsin Inc
• The Sleep Wellness Institute
• The Sleep Wellness Institute Inc
• Theresa Pardoe D.O.
• Ruth M Thielen, CCC SLP
• Angelina Marie Thieme-House

• Orthodontics and Dentofacial Orthopedics Dentistry in West Allis, WI
• Providers in West Allis, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• 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.