Organization Active NPI

The Orthodontic Group PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marlton, NJ
National Provider Identifier
1821188053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
THE ORTHODONTIC GROUP PA
Practice address
64 E Main St
Marlton, NJ 08053-2141
Phone
(856) 596-1933
Fax
(856) 596-4001
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark R Kazmierski, D.M.D.NPI 1891870283
Title
President
Phone
(856) 596-1933

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

64 E Main St
Marlton, NJ 08053-2141

Mailing address

64 E Main St
Marlton, NJ 08053-2141
Phone (856) 596-1933

National Provider Directory

National Provider Directory

Locations

64 E Main St
Marlton, NJ 08053
Phone (856) 596-1933

Practitioners & affiliated clinicians

Practitioners 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821188053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532141",
            "telephone_number": "856-596-1933",
            "fax_number": "856-596-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532141",
            "telephone_number": "856-596-1933",
            "fax_number": "856-596-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHODONTIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZMIERSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-596-1933",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.