Payson Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D008610 Issued in AZ

Legal business name

PAYSON ORTHODONTICS

Practice address

902 S Beeline Hwy
Payson, AZ 85541

Phone

(928) 472-7223

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By 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

Katie Meredith

Title

Treatment Coordinator

Phone

(928) 472-7223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1952803710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855416123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "928-472-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "928-472-7223"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D008610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848168",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payson Healthcare Management Inc
• Payson Home Care Services LLC
• Payson Hospital Corporation (Payson Regional Medical Center)
• Payson Hospital Corporation (Payson Regional Medical Center)
• Payson Hospital Corporation (Payson Regional Medical Center)
• Payson Physician Services Corporation
• Payson Sleep Services, Inc.
• Payson United Medical Investors (Payson Care Center Outpatient Rehabilitation)
• Payson United Medical Investors LLC (Payson Care Center)
• Payson Walk-in Clinic

• Orthodontics and Dentofacial Orthopedics Dentistry in Payson, AZ
• Providers in Payson, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.