Orthodontic Centers of Texas, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8352 Issued in TX

Legal business name

ORTHODONTIC CENTERS OF TEXAS, INC

Doing business as

East Texas Orthodontic Specialists

Practice address

212 Grande Blvd Ste B226
Tyler, TX 75703-4231

Phone

(903) 509-4422

Fax

(903) 509-4420

NPI assigned

Apr 19, 2007

Last updated

Aug 13, 2008By 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. Randolph William Sturrup, D.D.S., M.S.

Title

Orthodontist

Phone

(903) 509-4422

Specialties & licenses 1

Addresses

Other names 1

• East Texas Orthodontic Specialists Doing business as

Tax ID family

East Texas Orthodontic Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthodontic Centers of Texas

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longview, TX
  • NPI 1518086024
  NPD tax ID

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1790902195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GRANDE BLVD STE B226",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034231",
            "telephone_number": "903-509-4422",
            "fax_number": "903-509-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GRANDE BLVD STE B226",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034231",
            "telephone_number": "903-509-4422",
            "fax_number": "903-509-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CENTERS OF TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "STURRUP",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "903-509-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "8352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles O Orji, MD
• Karen Orlowski
• Corinna Orms, RD. LD
• Whitney Leigh Orr, P.T.
• Kenneth Lee Orten, M.D.
• Ortholonestar, PLLC (Azalea Orthopedics & Sports Medicine Clinic)
• Ortholonestar, PLLC (Azalea Orthopedics & Sports Medicine Clinic)
• Ortholonestar, PLLC (Azalea Orthopedics & Sports Medicine Clinic)
• Fabiola Ortiz
• Hermes Jose Ortiz, PHARM D., R.PH

• Orthodontics and Dentofacial Orthopedics Dentistry in Tyler, TX
• Providers in Tyler, 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 13, 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.