Organization Active NPI

Schoolhouse Orthodontics LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nazareth, PA
National Provider Identifier
1720630627
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SCHOOLHOUSE ORTHODONTICS LTD
Practice address
611 Nazareth Pike
Nazareth, PA 18064-9002
Phone
(484) 293-0744
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Tasha W Bolden, D.M.D, M.S.DNPI 1982899126
Title
President
Phone
(484) 293-0744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

611 Nazareth Pike
Nazareth, PA 18064-9002

Mailing address

611 Nazareth Pike
Nazareth, PA 18064-9002
Phone (484) 293-0744

Other identifiers 1

IdentifierTypeStateIssuer
1034058100001MedicaidPA

National Provider Directory

National Provider Directory

Locations

611 Nazareth Pike
Nazareth, PA 18064
Phone (484) 293-0744

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1720630627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649002",
            "telephone_number": "484-293-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649002",
            "telephone_number": "484-293-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOLHOUSE ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-293-0744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034058100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.