Active NPI
Odirile Orthodontics PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Midland, TX
National Provider Identifier
1881330710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Midland, TX
- NPI 1457899940
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.