NPIMap

Organization Active NPI

Orthodontic Care of Wa

Doing business as Orthodontic care of GA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tacoma, WA
National Provider Identifier
1679626345
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN011309 Issued in GA
Legal business name
ORTHODONTIC CARE OF WA
Doing business as
Orthodontic care of GA
Practice address
2520 S 38TH St
Ste a
Tacoma, WA 98409
Phone
(253) 343-9133
Fax
(253) 343-9135
NPI assigned
Jan 18, 2007
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. Hector Martin Bush, D.M.DNPI 1548494412
Title
Owner
Phone
(678) 432-8508

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN011309 GA Primary

Addresses

Primary practice location

2520 S 38TH St
Ste a
Tacoma, WA 98409

Mailing address

2520 S 38TH St
Ste a
Tacoma, WA 98409
Phone (253) 343-9133

Other names 1

  • Orthodontic care of GA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Care of Georgia12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1828 Jonesboro Rd
McDonough, GA 30253
Phone (678) 432-8505

2520 S 38th St
#A
Tacoma, WA 98409
Phone (253) 343-9133

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1679626345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S 38TH ST",
            "address_2": "STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-343-9133",
            "fax_number": "253-343-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S 38TH ST",
            "address_2": "STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-343-9133",
            "fax_number": "253-343-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CARE OF WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-432-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic care of GA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthodontic care of GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.