Organization Active NPI

Maitland Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maitland, FL
National Provider Identifier
1619388758
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on May 12, 2014

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.