Walnut Ridge Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24724 Issued in TX

Legal business name

WALNUT RIDGE ORTHODONTICS

Practice address

3807 E Broad St Ste 101
Mansfield, TX 76063-5623

Phone

(682) 300-2300

Fax

(682) 292-1373

NPI assigned

Jun 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven Machicek, D.D.S.NPI 1902035835

Title

Orthodontist

Phone

(682) 300-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Lee Machicek, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waco, TX
  • NPI 1902035835
  NPD (past) Authorized official

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1629331608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635623",
            "telephone_number": "682-300-2300",
            "fax_number": "682-292-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635623",
            "telephone_number": "682-300-2300",
            "fax_number": "682-292-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT RIDGE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "MACHICEK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "682-300-2300",
        "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": "TX",
            "license": "24724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Walker, MA
• Erin Elizabeth Wallace, M.D.
• Bailee Ann Waller, M.S., CCC-SLP
• Walnut Creek Counseling PLLC
• Walnut Creek Residential Services, Inc. (Walnut Creek)
• Kaylee Walston
• Joshua Walters, PT, DPT
• Jaden Wang, LAC
• Beth Wangombe
• Ward Precision Health

• Orthodontics and Dentofacial Orthopedics Dentistry in Mansfield, TX
• Providers in Mansfield, 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 Jun 24, 2012; 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.