Image Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8823 Issued in TX

Legal business name

IMAGE ORTHODONTICS PLLC

Practice address

522B Brandies Cir
Murfreesboro, TN 37128-4872

Phone

(615) 867-6960

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John T Philipose, D.M.D

Title

Dr

Phone

(615) 867-6960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1730337270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522B BRANDIES CIR",
            "address_2": "SUITE 2",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284872",
            "telephone_number": "615-867-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522B BRANDIES CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284872",
            "telephone_number": "615-867-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PHILIPOSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "615-867-6960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "8823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.