Central Texas Orthodontic Specialists

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17577 Issued in TX

Legal business name

CENTRAL TEXAS ORTHODONTIC SPECIALISTS

Practice address

5180 W Waco Dr
Waco, TX 76710-7024

Phone

(254) 399-9800

Fax

(254) 399-9700

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lisa L. Kerns, DDS, MSNPI 1801934054

Title

Doctor

Phone

(254) 399-9800

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Lisa L Kerns, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waco, TX
  • NPI 1801934054
  NPD (past) Authorized official
• David Gary Kerns, DMD

  • Periodontics
  • Waco, TX
  • NPI 1215144324
  NPD (past)

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1699044784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107024",
            "telephone_number": "254-399-9800",
            "fax_number": "254-399-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107024",
            "telephone_number": "254-399-9800",
            "fax_number": "254-399-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "254-399-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "17577",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "188559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Texas Homecare, LLC
• Central Texas Institute of Plastic Surgery, PA
• Central Texas Nephrology Associates, P.a.
• Central Texas Neurological Association
• Central Texas Orthodontic Associates, Inc.
• Central Texas Orthopaedic Foot and Ankle Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pathology Laboratory, P.a.
• Central Texas Pediatrics

• Periodontics in Waco, TX
• Providers in Waco, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.