Columbia Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21968 Issued in TX

Legal business name

COLUMBIA ORTHODONTICS PLLC

Practice address

4611 Columbia Ave
Suite 104
Dallas, TX 75226-2306

Phone

(214) 827-8000

Fax

(214) 827-8001

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By 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

Dr. Mita Desai, DDS

Title

Member

Phone

(214) 517-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1750697025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 COLUMBIA AVE",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752262306",
            "telephone_number": "214-827-8000",
            "fax_number": "214-827-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 COLUMBIA AVE",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752262306",
            "telephone_number": "214-827-8000",
            "fax_number": "214-827-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-517-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "21968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Hospital at Medical City Dallas Subsidiary LP (Medical City Dallas)
• Columbia Hospital at Medical City Dallas Subsidiary LP (Medical City Dallas)
• Columbia Hospital at Medical City Dallas Subsidiary LP (Medical City Dallas)
• Columbia Hospital at Medical City Dallas Subsidiary LP (Ambulance at Medical City Dallas)
• Columbia Hospital at Medical City Dallas Subsidiary LP (Medical City Dallas)
• Cristie Columbus, MD
• Karen Colunga, APRN
• William Preston Colven Jr., DDS, MS
• Christopher Colvin
• Randy Grant Colvin II, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, TX
• Providers in Dallas, 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 Aug 25, 2010; 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.