Worcester Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MA20511 Issued in MA

Legal business name

WORCESTER ORTHODONTICS, PC

Practice address

10 Winthrop St
#217
Worcester, MA 01604-4435

Phone

(508) 755-2207

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Houssam Alkhoury, DMD

Title

President/Owner

Phone

(508) 755-2207

Specialties & licenses 1

Addresses

Other names 1

• Super Braces Doing business as

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1881829299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "address_2": "#217",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-755-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "address_2": "#217",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-755-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-755-2207",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "MA20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Worcester Medical Transportation LLC
• Worcester Ophthalmology Associates, Inc
• Worcester Ophthalmology Associates, Inc
• Worcester Oral Surgery and Implant Centers PLLC
• Worcester Oral Surgery, P.C.
• Worcester Pain Management PLLC
• Worcester Parson SNF Operations, LLC
• Worcester Pediatric Dental Group LLC
• Worcester Pediatrics PC
• Worcester Pharmacy LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.