Organization Active NPI

Mitchell and Bartlett Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greensboro, NC
National Provider Identifier
1821390105
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MITCHELL AND BARTLETT ORTHODONTICS
Practice address
5314 W Friendly Ave Ste B
Greensboro, NC 27410-4351
Phone
(336) 855-8900
Fax
(336) 855-0183
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Kelly MitchellNPI 1982868493
Title
Owner
Phone
(336) 855-8900

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

5314 W Friendly Ave Ste B
Greensboro, NC 27410-4351

Mailing address

5314 W Friendly Ave Ste B
Greensboro, NC 27410-4351
Phone (336) 855-8900

National Provider Directory

National Provider Directory

Locations

5314 W Friendly Ave
Ste B
Greensboro, NC 27410
Phone (336) 855-8900

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1821390105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 W FRIENDLY AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104351",
            "telephone_number": "336-855-8900",
            "fax_number": "336-855-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 W FRIENDLY AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104351",
            "telephone_number": "336-855-8900",
            "fax_number": "336-855-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL AND BARTLETT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-855-8900",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.