Organization Active NPI

Bulverde Orthodontics PA

Doing business as Ferris Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spring Branch, TX
National Provider Identifier
1710005079
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BULVERDE ORTHODONTICS PA
Doing business as
Ferris Orthodontics
Practice address
172 Creekside Park Rd Ste 113
Spring Branch, TX 78070-6238
Phone
(830) 438-7250
Fax
(830) 438-6716
NPI assigned
Mar 26, 2007
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Tyler Whitman Ferris, DDS MSNPI 1881715100
Title
Owner
Phone
(830) 438-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

172 Creekside Park Rd Ste 113
Spring Branch, TX 78070-6238

Mailing address

24165 W Interstate 10 Ste 209
San Antonio, TX 78257-1160
Phone (210) 698-2480

Other names 1

  • Ferris Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

24165 W Interstate 10
Ste 209
San Antonio, TX 78257
Phone (210) 698-2480

172 Creekside Park Rd
Ste 113
Spring Branch, TX 78070
Phone (830) 438-7250

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1710005079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W INTERSTATE 10 STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-698-2480",
            "fax_number": "210-698-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CREEKSIDE PARK RD STE 113",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706238",
            "telephone_number": "830-438-7250",
            "fax_number": "830-438-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULVERDE ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "WHITMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-438-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferris Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.