Organization Active NPI

Orthodontics Exclusively

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lehigh Acres, FL
National Provider Identifier
1629108626
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13690 Issued in FL
Legal business name
ORTHODONTICS EXCLUSIVELY
Practice address
3400 Lee Blvd Ste 110
Lehigh Acres, FL 33971-1309
Phone
(239) 368-5679
Fax
(239) 491-2054
NPI assigned
Mar 7, 2007
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. David Roger Heald, D.M.D.NPI 1063542066
Title
Dentist
Phone
(239) 368-5679

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 13690 FL Primary

Addresses

Primary practice location

3400 Lee Blvd Ste 110
Lehigh Acres, FL 33971-1309

Mailing address

3400 Lee Blvd Ste 110
Lehigh Acres, FL 33971-1309
Phone (239) 368-5679

National Provider Directory

National Provider Directory

Locations

3400 Lee Blvd
Ste 110
Lehigh Acres, FL 33971
Phone (239) 368-5679

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1629108626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD STE 110",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711309",
            "telephone_number": "239-368-5679",
            "fax_number": "239-368-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD STE 110",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711309",
            "telephone_number": "239-368-5679",
            "fax_number": "239-491-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTICS EXCLUSIVELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HEALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "239-368-5679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.