Specialty Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SPECIALTY ORTHODONTICS, PC

Practice address

608 Gateway Central Ste 201
Marble Falls, TX 78654-6356

Phone

(512) 271-4001

Fax

(512) 233-5180

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Serenthes Fields

Title

Credentialing Specialist

Phone

(512) 271-4001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1679277735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S A W GRIMES BLVD STE 190",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647843",
            "telephone_number": "512-271-4001",
            "fax_number": "512-233-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL STE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546356",
            "telephone_number": "512-271-4001",
            "fax_number": "512-233-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14005 N Hwy 183 Ste 800",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787175960",
            "country_code": "US",
            "telephone_number": "512-271-4001",
            "fax_number": "512-233-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SERENTHES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-271-4001"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Quinton Solomon, DPM
• Swati Jayant Soni-Marchant, RPH
• Katherine Lynn Sonnamaker, AU.D., CCC-A
• Theresa Ann Soto, CRNA
• William Spangler, LPC
• Spirit of Serene Healing Counseling
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• Tiffany Renee Stage, NP -C
• Danette Stallings, RN
• Logan Hyatt Stanley, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Marble Falls, TX
• Providers in Marble Falls, 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 Mar 30, 2023; 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.