Organization Active NPI

Walde Firth Orthodontic Specialists LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, MO
National Provider Identifier
1912377581
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WALDE FIRTH ORTHODONTIC SPECIALISTS LLP
Practice address
1507 Heritage Hills Drive
Washington, MO 63090
Phone
(636) 239-5151
Fax
(636) 390-2728
NPI assigned
Sep 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Carol Steuber
Title
Office Manager
Phone
(636) 239-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1507 Heritage Hills Drive
Washington, MO 63090

Mailing address

1507 Heritage Hills Drive
Washington, MO 63090
Phone (636) 239-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1912377581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HERITAGE HILLS DRIVE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-5151",
            "fax_number": "636-390-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 HERITAGE HILLS DRIVE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-5151",
            "fax_number": "636-390-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDE FIRTH ORTHODONTIC SPECIALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "STEUBER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-239-5151"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

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