Texas Orthodontic Specialist

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TEXAS ORTHODONTIC SPECIALIST

Practice address

8608 Preston Rd Ste 112
Plano, TX 75024-3317

Phone

(972) 215-7645

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Benjamin R Walder, D.D.S.

Title

Orthodontist/President

Phone

(972) 215-7645

Specialties & licenses 1

Addresses

Tax ID family

Texas Orthodontic Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Orthodontics for Kids, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Forney, TX
  • NPI 1891018297
  NPD tax ID

Locations

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1609153188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S FM 548 STE A",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264130",
            "telephone_number": "972-215-7645",
            "fax_number": "888-302-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 PRESTON RD STE 112",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243317",
            "telephone_number": "972-215-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORTHODONTIC SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "WALDER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHODONTIST/PRESIDENT",
        "authorized_official_telephone_number": "972-215-7645",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Medicine Resources LLP
• Texas National Home Care
• Texas Neurosurgical Institute PA
• Texas on Call Physicians PC
• Texas Oral Surgery Group, LLP
• Texas Orthopaedic Associates, LLP
• Texas Orthopedic & Spine Rehab Dba
• Texas PHC, Inc.
• Texas Phlebology PA
• Texas Physio Associates PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Plano, TX
• Providers in Plano, 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 Nov 10, 2011; 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.