NPIMap

Organization Active NPI

St. Clair and St. Clair Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lubbock, TX
National Provider Identifier
1902013881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10457 Issued in TX
Legal business name
ST. CLAIR AND ST. CLAIR ORTHODONTICS
Practice address
5203 79TH St Ste H
Lubbock, TX 79424-2894
Phone
(806) 799-6780
Fax
(806) 698-0668
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Robert St. Clair, D.D.S.NPI 1700947355
Title
Partner
Phone
(806) 799-6780

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 10457 TX Primary

Addresses

Primary practice location

5203 79TH St Ste H
Lubbock, TX 79424-2894

Mailing address

5203 79TH St Ste H
Lubbock, TX 79424-2894
Phone (806) 799-6780

National Provider Directory

National Provider Directory

Locations

5203 79th St
Ste H
Lubbock, TX 79424
Phone (806) 799-6780

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902013881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 79TH ST STE H",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242894",
            "telephone_number": "806-799-6780",
            "fax_number": "806-698-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 79TH ST STE H",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242894",
            "telephone_number": "806-799-6780",
            "fax_number": "806-698-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR AND ST. CLAIR ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST. CLAIR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-799-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.