NPIMap

Organization Active NPI

Alterra Dental PLLC

Doing business as Orchard Dental and Orthodontics

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1962890525
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28021 Issued in TX
Legal business name
ALTERRA DENTAL PLLC
Doing business as
Orchard Dental and Orthodontics
Practice address
2771 E Broad St Ste 221
Mansfield, TX 76063-9157
Phone
(817) 473-2277
NPI assigned
Jan 6, 2015
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Dr. Michael Castle, DMDNPI 1659626505
Title
Manager
Phone
(559) 797-5053

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28081 TX
General Practice Dentistry 1223G0001X 28021 TX Primary

Addresses

Primary practice location

2771 E Broad St Ste 221
Mansfield, TX 76063-9157

Mailing address

2771 E Broad St Ste 221
Mansfield, TX 76063-9157
Phone (817) 473-2277

Other names 1

  • Orchard Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1962890525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 221",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639157",
            "telephone_number": "817-473-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 221",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639157",
            "telephone_number": "817-473-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERRA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-797-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28081",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.