NPIMap

Organization Active NPI

Wiregrass Orthodontic Specialists

  • Dental Clinic/Center
  • Dothan, AL
National Provider Identifier
1922500198
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5050 Issued in AL
Legal business name
WIREGRASS ORTHODONTIC SPECIALISTS
Practice address
100 Obrannon Park Ave
Dothan, AL 36303-2052
Phone
(334) 792-1000
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Heidi McClintock
Title
Insurance
Phone
(334) 792-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5050 AL Primary

Addresses

Primary practice location

100 Obrannon Park Ave
Dothan, AL 36303-2052

Mailing address

100 Obrannon Park Ave
Dothan, AL 36303-2052
Phone (334) 792-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1922500198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OBRANNON PARK AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032052",
            "telephone_number": "334-792-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OBRANNON PARK AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032052",
            "telephone_number": "334-792-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "334-792-1000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.