McKenzie Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12424 Issued in TX

Legal business name

MCKENZIE ORTHODONTICS

Practice address

10610 Up River Rd
Suite D
Corpus Christi, TX 78410-2206

Phone

(361) 387-1531

Fax

(361) 767-8802

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William T Cooper, DDS

Title

President

Phone

(361) 387-1531

Specialties & licenses 1

Addresses

Other names 1

• New Image Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1679772453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E AVENUE J",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802347",
            "telephone_number": "361-387-1531",
            "fax_number": "361-767-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 UP RIVER RD",
            "address_2": "SUITE D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784102206",
            "telephone_number": "361-387-1531",
            "fax_number": "361-767-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-387-1531",
        "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": "12424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Image Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn McHale
• John R McIntyre, OD
• Sarah Suzanne McKeever-Ramos
• John McKeever, MD
• Lisa Ann McKenna, LCSW
• Lisa Lauren McKinstry, FNP
• Scott William McKinstry, M.D.
• Kallieste McKinzey, STUDENT
• Jermahl David McKissick, PA-C
• Nicholas McLain, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, 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 Jul 12, 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.