Laredo Orthodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23213 Issued in TX

Legal business name

LAREDO ORTHODONTICS, PLLC

Practice address

802 E Calton Rd
Laredo, TX 78041-3687

Phone

(956) 724-8391

Fax

(956) 724-8396

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James Vandeberg, DDS, MS

Title

Owner

Phone

(210) 902-9122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1760898407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E CALTON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413687",
            "telephone_number": "956-724-8391",
            "fax_number": "956-724-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E CALTON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413687",
            "telephone_number": "956-724-8391",
            "fax_number": "956-724-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "VANDEBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-902-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.