NPIMap

Organization Active NPI

Gorman Center for Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marion, IN
National Provider Identifier
1720006273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
54000033A Issued in IN
Legal business name
GORMAN CENTER FOR ORTHODONTICS
Practice address
617 N River Dr
Marion, IN 46952-2648
Phone
(765) 662-0018
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tiffany Hartman
Title
Personnel Director
Phone
(765) 662-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 54000033A IN Primary

Addresses

Primary practice location

617 N River Dr
Marion, IN 46952-2648

Mailing address

617 N River Dr
Marion, IN 46952-2648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720006273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522648",
            "telephone_number": "765-662-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORMAN CENTER FOR ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PERSONNEL DIRECTOR",
        "authorized_official_telephone_number": "765-662-0018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "54000033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.