Holwegner Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1285 Issued in WY

Legal business name

HOLWEGNER ORTHODONTICS, LLC

Practice address

7010 Yellowtail Rd
Suite 200
Cheyenne, WY 82009-6113

Phone

(307) 638-8958

NPI assigned

Jan 9, 2014

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Callista Marie Holwegner, D.D.S., M.S.

Title

Orthodontist

Phone

(307) 638-8958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1922420009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 YELLOWTAIL RD",
            "address_2": "SUITE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096113",
            "telephone_number": "307-638-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 YELLOWTAIL RD",
            "address_2": "SUITE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096113",
            "telephone_number": "307-638-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLWEGNER ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "HOLWEGNER",
        "authorized_official_first_name": "CALLISTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "307-638-8958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.