Active NPI
Bow Tie Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waterford, MI
National Provider Identifier
1932800802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- BOW TIE ORTHODONTICS
- Practice address
- 2677 Elizabeth Lake Rd Ste 203
Waterford, MI 48328-3290 - Phone
- (248) 682-8811
- NPI assigned
- Mar 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Williams
- Title
- Owner
- Phone
- (313) 530-7096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2677 Elizabeth Lake Rd Ste 203
Waterford, MI 48328-3290
Mailing address
2677 Elizabeth Lake Rd Ste 203
Waterford, MI 48328-3290
Other practice location 1
732 W Big Beaver Rd
Troy, MI 48084-4934
Phone (248) 897-0202
National Provider Directory
National Provider DirectoryLocations
2677 Elizabeth Lake Rd
Ste 203
Waterford, MI 48328
Phone (248) 682-8811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sterling Heights, MI
- NPI 1326601774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1932800802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2677 ELIZABETH LAKE RD STE 203",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 ELIZABETH LAKE RD STE 203",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283290",
"telephone_number": "248-682-8811"
}
],
"practiceLocations": [
{
"address_1": "732 W Big Beaver Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844934",
"country_code": "US",
"telephone_number": "248-897-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BOW TIE ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-530-7096",
"authorized_official_name_prefix": "Dr."
},
"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 Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.