Organization Active NPI

Odirile Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midland, TX
National Provider Identifier
1881330710
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ODIRILE ORTHODONTICS PLLC
Practice address
4505 Holiday Hill Rd., Suite 115
Midland, TX 79707
Phone
(267) 270-0068
NPI assigned
May 12, 2022
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Bonolo B. Odiril
Title
Dentist/Owner
Phone
(267) 270-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

4505 Holiday Hill Rd., Suite 115
Midland, TX 79707

Mailing address

4505 Holiday Hill Rd., Suite 115
Midland, TX 79707

National Provider Directory

National Provider Directory

Locations

4505 N Holiday Hill Rd
Ste 115
Midland, TX 79707
Phone (267) 270-0068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1881330710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 HOLIDAY HILL RD., SUITE 115",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 HOLIDAY HILL RD., SUITE 115",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "267-270-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIRILE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "ODIRIL",
        "authorized_official_first_name": "BONOLO B.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "267-270-0068",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.