Organization Active NPI

Op Orthodontics of Pennsylvania LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wyomissing, PA
National Provider Identifier
1881375301
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OP ORTHODONTICS OF PENNSYLVANIA LLC
Practice address
840 Penn Ave
Wyomissing, PA 19610-3016
Phone
(610) 374-4097
NPI assigned
Jul 27, 2023
Organization subpart
Yes
Parent organization
ORTHODONTIC PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Stacy Pope
Title
Project Manager
Phone
(616) 283-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

840 Penn Ave
Wyomissing, PA 19610-3016

Mailing address

5300 Patterson Ave SE Ste 110
Grand Rapids, MI 49512-5663
Phone (616) 283-8867

Other practice location 1

1830 E High St
Pottstown, PA 19464-9210
Phone (610) 374-4097

Other practice location 2

1204 Benjamin Franklin Highway West
Douglassville, PA 19518
Phone (610) 374-4097

Other names 1

  • ROG Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Op Orthodontics of Pennsylvania LLC2 organizations share this tax ID, including this one
Part of
Op Orthodontics of Pennsylvania LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1830 E High St
Pottstown, PA 19464
Phone (610) 374-4097

840 Penn Ave
Wyomissing, PA 19610
Phone (610) 374-4097

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": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1881375301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125663",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103016",
            "telephone_number": "610-374-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 E High St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194649210",
            "country_code": "US",
            "telephone_number": "610-374-4097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 Benjamin Franklin Highway West",
            "address_purpose": "LOCATION",
            "city": "Douglassville",
            "state": "PA",
            "postal_code": "19518",
            "country_code": "US",
            "telephone_number": "610-374-4097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OP ORTHODONTICS OF PENNSYLVANIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC PARTNERS",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROG Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.