NPIMap

Organization Active NPI

Orthogenesis International Centre South, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laredo, TX
National Provider Identifier
1609093939
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20718 Issued in TX
Legal business name
ORTHOGENESIS INTERNATIONAL CENTRE SOUTH, PA
Practice address
6410 McPherson Rd
Suite 2
Laredo, TX 78041-6191
Phone
(956) 717-9877
Fax
(956) 717-9881
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Nelia Patricia Garcia-Morales, DDS, MSDNPI 1598772600
Title
President
Phone
(956) 717-9877

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20718 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 20718 TX Primary

Addresses

Primary practice location

6410 McPherson Rd
Suite 2
Laredo, TX 78041-6191

Mailing address

6410 McPherson Rd
Suite 2
Laredo, TX 78041-6191
Phone (956) 717-9877

Other identifiers 2

IdentifierTypeStateIssuer
160748301MedicaidTX
163924701MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1609093939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 MCPHERSON RD",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416191",
            "telephone_number": "956-717-9877",
            "fax_number": "956-717-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 MCPHERSON RD",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416191",
            "telephone_number": "956-717-9877",
            "fax_number": "956-717-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOGENESIS INTERNATIONAL CENTRE SOUTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA-MORALES",
        "authorized_official_first_name": "NELIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-717-9877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20718",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160748301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163924701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.