Boerne Orthodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23213 Issued in TX

Legal business name

BOERNE ORTHODONTICS, PLLC

Practice address

215 W Bandera Rd
Suite # 112
Boerne, TX 78006-2820

Phone

(830) 331-8008

NPI assigned

Jul 9, 2014

Last updated

Jul 10, 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. James Vandeberg, D.D.S

Title

Owner

Phone

(830) 331-8008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cassandra Clark Campbell, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1295226967
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1932515020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST BANDERA ROAD",
            "address_2": "SUITE # 112",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "210-902-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD",
            "address_2": "SUITE # 112",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062820",
            "telephone_number": "830-331-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "VANDEBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-331-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boerne Mens Clinic
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• Boerne OB/GYN, P.a.
• Boerne Operations LLC
• Boerne Optical LTD 1 (Trinity Vision Center)
• Boerne Pediatrics (Pediatrics of Boerne)
• Boerne Physical Therapy Institute
• Boerne Regen and Anti-Aging Center, PLLC
• Boerne Spectrum Physical Therapy Clinic (Spectrum Physical Therapy)
• Boerne Speech Therapy, LLC (Trio Rehabilitation & Wellness Solutions)

• Dental Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.