E Line Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

27128 Issued in TX

Legal business name

E LINE ORTHODONTICS

Practice address

3044 Old Denton Rd
Ste. 111-304
Carrollton, TX 75007-5016

Phone

(972) 242-2040

Fax

(972) 446-0088

NPI assigned

May 22, 2012

Last updated

May 22, 2012By 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

Yoon H. Chang, D.D.SNPI 1558649210

Title

Owner

Phone

(972) 242-2040

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Yoon Chang, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carrollton, TX
  • NPI 1558649210
  Authorized official Same address or phone
• Kwonil Park, DDS

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1740306414
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1700146966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E TRINITY MILLS RD",
            "address_2": "102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061438",
            "telephone_number": "972-242-2040",
            "fax_number": "972-446-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD",
            "address_2": "STE. 111-304",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075016",
            "telephone_number": "972-242-2040",
            "fax_number": "972-446-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E LINE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-242-2040",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Julia Dunn, SLP-CCC
• Sarah Thuy an Duong
• Audrey Beth Dworkis, M.S.
• Whitney Dyer
• Dynamic Medical Transportation
• E.a. Gus Guthrie, O.D.P.C.
• Holly Eagle
• Eagles Aerie ABA Services LLC
• Easter Seals North Texas, Inc. (Easterseals Lonestar)
• Eastland Memorial Hospital District (Carrollton Health and Rehabilitation Center)

• Orthodontics and Dentofacial Orthopedics Dentistry in Carrollton, TX
• Providers in Carrollton, 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 May 22, 2012; 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.