Trax Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TRAX ORTHODONTICS

Practice address

141 West 3Rd St
Perrysburg, OH 43551

Phone

(419) 690-6885

NPI assigned

Jan 20, 2022

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heath Wallace, DDS

Title

Owner

Phone

(419) 966-8006

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1609528728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WEST 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-690-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEST 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-690-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAX ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-966-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george@namaydentistry.com",
            "affiliation": "N",
            "address_1": "141 west 3rd st",
            "city": "perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Toledo Surgical Associates, Inc.
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• Melissa Sue Toney
• Katelyn S Tonjes, LSW
• Township of Perrysburg Office of Clerk
• Christina Delphine Tremonti, MA, LPC
• Kirstin Monique Trent
• Trilogy Healthcare of Perrysburg, LLC (Kingston Health Center of Perrysburg)
• Trilogy Healthcare SL of Perrysburg, LLC (Kingston Senior Living of Perrysburg)
• Susan Jane Trim, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.