NPIMap

Organization Active NPI

Orthodontics South, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pelham, AL
National Provider Identifier
1871145219
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTICS SOUTH, PC
Practice address
2705 Pelham Pkwy Ste 200
Pelham, AL 35124-1704
Phone
(205) 664-4140
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Brandon BogganNPI 1750506465
Title
Owner/President/Orthodontist
Phone
(205) 664-4140

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

2705 Pelham Pkwy Ste 200
Pelham, AL 35124-1704

Mailing address

2705 Pelham Pkwy Ste 200
Pelham, AL 35124-1704
Phone (205) 664-4140

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.orthosouth.com Direct

National Provider Directory

National Provider Directory

Locations

2705 Pelham Pkwy
Ste 200
Pelham, AL 35124
Phone (205) 664-4140

Practitioners & affiliated clinicians

Practitioners 1

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1871145219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 PELHAM PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241704",
            "telephone_number": "205-664-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 PELHAM PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241704",
            "telephone_number": "205-664-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTICS SOUTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BOGGAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "205-664-4140"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.orthosouth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Calera",
            "address_1": "2705 Pelham Pkwy Ste 200",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351241704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.