NPIMap

Organization Active NPI

National Orthodontix Management, LLC

Doing business as Orthodontix, LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1669532735
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13047 Issued in TX
Legal business name
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Doing business as
Orthodontix, LTD
Practice address
7500 N Mesa
Suite 304
El Paso, TX 79912-3512
Phone
(915) 231-9983
Fax
(915) 231-9966
NPI assigned
Dec 11, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. John G. Vondrak, DDS
Title
Operating Manager
Phone
(915) 231-9983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13047 TX Primary

Addresses

Primary practice location

7500 N Mesa
Suite 304
El Paso, TX 79912-3512

Mailing address

7500 N Mesa
Suite 304
El Paso, TX 79912-3512
Phone (915) 231-9983

Other identifiers 1

IdentifierTypeStateIssuer
113053MedicaidTX

Other names 1

  • Orthodontix, LTD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Orthodontix MGMT LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1669532735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N MESA",
            "address_2": "SUITE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123512",
            "telephone_number": "915-231-9983",
            "fax_number": "915-231-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N MESA",
            "address_2": "SUITE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123512",
            "telephone_number": "915-231-9983",
            "fax_number": "915-231-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ORTHODONTIX MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "VONDRAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "915-231-9983",
        "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": "TX",
            "license": "13047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontix, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.