Active NPI
Maitland Orthodontic Specialists
- Orthodontics and Dentofacial Orthopedics Dentistry
- Maitland, FL
National Provider Identifier
1619388758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MAITLAND ORTHODONTIC SPECIALISTS
- Practice address
- 320 N Maitland Ave
Maitland, FL 32751-4772 - Phone
- (407) 699-1102
- Fax
- (407) 699-4327
- NPI assigned
- May 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis A Weeks, D.D.S.
- Title
- President
- Phone
- (407) 699-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | FL | Primary |
Addresses
Primary practice location
320 N Maitland Ave
Maitland, FL 32751-4772
Mailing address
320 N Maitland Ave
Maitland, FL 32751-4772
Phone (407) 699-1102
National Provider Directory
National Provider DirectoryLocations
320 N Maitland Ave
Maitland, FL 32751
Phone (407) 647-1346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399852800000",
"number": "1619388758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N MAITLAND AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514772",
"telephone_number": "407-699-1102",
"fax_number": "407-699-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAITLAND AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514772",
"telephone_number": "407-699-1102",
"fax_number": "407-699-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAITLAND ORTHODONTIC SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A",
"authorized_official_last_name": "WEEKS",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-699-1102",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.