NPIMap

Organization Active NPI

Celebrity Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Arlington, TX
National Provider Identifier
1962630525
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24477 Issued in TX
Legal business name
CELEBRITY ORTHODONTICS, PLLC
Practice address
3020 Matlock Rd
Ste 120
Arlington, TX 76015
Phone
(817) 308-1580
Fax
(817) 466-7107
NPI assigned
Jun 22, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Thuy Bich DO, DMD, MSNPI 1023083995
Title
Owner
Phone
(817) 308-1580

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 24477 TX Primary

Addresses

Primary practice location

3020 Matlock Rd
Ste 120
Arlington, TX 76015

Mailing address

3020 Matlock Rd
Ste 120
Arlington, TX 76015
Phone (817) 308-1580

Other identifiers 1

IdentifierTypeStateIssuer
24477OtherTXLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

3020 Matlock Rd
Ste 120
Arlington, TX 76015
Phone (817) 308-1580

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962630525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MATLOCK RD",
            "address_2": "STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-308-1580",
            "fax_number": "817-466-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 MATLOCK RD",
            "address_2": "STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-308-1580",
            "fax_number": "817-466-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THUY",
        "authorized_official_middle_name": "BICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-308-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "24477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.