Wilshire Family Dental and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20062 Issued in TX

Legal business name

WILSHIRE FAMILY DENTAL AND ORTHODONTICS PLLC

Doing business as

32 Ivory Lane Dental & Orthodontics

Practice address

950 FM 156
Suite 10
Justin, TX 76247

Phone

(940) 648-8668

Fax

(940) 648-8668

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. April Kaneira, DDS

Title

Managing Partner

Phone

(214) 914-0813

Specialties & licenses 2

Addresses

Other names 1

• 32 Ivory Lane Dental & Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amina Soud Adem

  • General Practice Dentistry
  • Burleson, TX
  • NPI 1679170112
  NPD (past)
• Lance Edward Woodard, D.D.S.

  • Dentist
  • Burleson, TX
  • NPI 1306127147
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746921600000",
    "number": "1932420221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FM 156",
            "address_2": "SUITE 10",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-648-8668",
            "fax_number": "940-648-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FM 156",
            "address_2": "SUITE 10",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-648-8668",
            "fax_number": "940-648-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE FAMILY DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "KANEIRA",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-914-0813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20062",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "32 Ivory Lane Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen E Walters, P.T.
• Anna Walton
• Courtney Blayne Atherton Ward, PT, DPT
• Natalie Anne Wilkinson, PT, DPT
• Sheena Williams, MSL, BA
• Grace Mary Wilson, PMHNP-BC
• Kelci Wysor-Tisch
• Caroline Winters Zananiri, M.S. CCC-SLP
• Hui Zhang, DDS
• Marlyn Zuniga

• General Practice Dentistry in Justin, TX
• Providers in Justin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; 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.