NPIMap

Organization Active NPI

Orthodontic Associates, PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, TN
National Provider Identifier
1487764049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6930 Issued in TN
Legal business name
ORTHODONTIC ASSOCIATES, PLC
Practice address
801 Sunset Dr BLDG E # 5
Johnson City, TN 37604-3033
Phone
(423) 282-2333
Fax
(423) 282-9337
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David J. Storie, D.M.D., M.S.NPI 1447360003
Title
Chief Manager
Phone
(423) 282-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6930 TN Primary

Addresses

Primary practice location

801 Sunset Dr BLDG E # 5
Johnson City, TN 37604-3033

Mailing address

801 Sunset Dr BLDG E # 5
Johnson City, TN 37604-3033
Phone (423) 282-2333

National Provider Directory

National Provider Directory

Locations

801 Sunset Dr
#E5
Johnson City, TN 37604
Phone (423) 282-2333

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487764049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SUNSET DR BLDG E # 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043033",
            "telephone_number": "423-282-2333",
            "fax_number": "423-282-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SUNSET DR BLDG E # 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043033",
            "telephone_number": "423-282-2333",
            "fax_number": "423-282-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STORIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-282-2333",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • 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.