Engilman Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8621 Issued in KY

Legal business name

ENGILMAN ORTHODONTICS

Practice address

6408 W Highway 146
Unit 10
Crestwood, KY 40014-9575

Phone

(502) 241-3176

NPI assigned

Oct 26, 2008

Organization subpart

No

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

Authorized official

Name

Stephen James

Title

Coo

Phone

(502) 254-8504

Specialties & licenses 1

Addresses

Other names 1

• Braces Braces Braces Doing business as

Locations

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

{
    "created_epoch": "1224979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224979200000",
    "number": "1548413271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S HIGHWAY 53",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319109",
            "telephone_number": "502-225-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 W HIGHWAY 146",
            "address_2": "UNIT 10",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149575",
            "telephone_number": "502-241-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGILMAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-26",
        "last_updated": "2008-10-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "8621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braces Braces Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Ann Dykgraaf, DMD
• Elm Pediatric Dentistry, PLLC
• Anne Ely, LPP
• Embrace Dental Care Crestwood
• Lindsey W Engel, MD
• Family'S Choice Services
• Sue B Feeley, DDS
• Lauren Fineman
• Lawrence Edward Fleischer, RPH
• Allison Flick, BCBA 1-26-88417

• All providers in Crestwood, KY
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2008; 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.