Organization Active NPI

Wylie Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richardson, TX
National Provider Identifier
1861898637
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WYLIE ORTHODONTIC SPECIALISTS
Doing business as
LT Ortho
Practice address
100 N Central Expy
#1107
Richardson, TX 75080-5332
Phone
(972) 907-9900
NPI assigned
Nov 6, 2014
Organization subpart
Yes
Parent organization
WYLIE ORTHODONTIC SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Miss Zelina Turner
Title
Insurance and Finance Coordinator
Phone
(972) 907-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X TX Primary

Addresses

Primary practice location

100 N Central Expy
#1107
Richardson, TX 75080-5332

Mailing address

100 N Central Expy
#1107
Richardson, TX 75080-5332
Phone (972) 907-9900

Other names 1

  • LT Ortho Doing business as

National Provider Directory

National Provider Directory
Part of
Wylie Orthodontic Specialists

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1861898637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "#1107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-907-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "#1107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-907-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYLIE ORTHODONTIC SPECIALISTS",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ZELINA",
        "authorized_official_title_or_position": "INSURANCE AND FINANCE COORDINATOR",
        "authorized_official_telephone_number": "972-907-9900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LT Ortho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.