Align Clinic, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ALIGN CLINIC, LLC

Practice address

445 Cardinal LN Ste 110
Green Bay, WI 54313-9587

Phone

(920) 940-5277

Fax

(844) 308-8462

NPI assigned

Feb 12, 2015

Last updated

Mar 17, 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

Mr. Grant I. Wood, CO

Title

Ceo

Phone

(650) 375-2231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Align Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Align Clinic, LLC

  • Prosthetic/Orthotic Supplier
  • Shenandoah, TX
  • NPI 1184274078
  NPD tax ID

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.

• Emery James Maloney, CO

  • Orthotist
  • Green Bay, WI
  • NPI 1730559931
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962893842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CARDINAL LN STE 110",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139587",
            "telephone_number": "920-940-5277",
            "fax_number": "844-308-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CARDINAL LN STE 110",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139587",
            "telephone_number": "920-940-5277",
            "fax_number": "844-308-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2918 Post Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544816417",
            "country_code": "US",
            "telephone_number": "715-204-7215",
            "fax_number": "650-627-4632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 Post Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544816417",
            "country_code": "US",
            "telephone_number": "715-204-7215",
            "fax_number": "650-627-4632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALIGN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-375-2231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063956",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Victor Albiero, M.D.
• Robyn Albright, BCBA
• Aaron Michael Alexander-Wolf
• Andrew Kyle Alexander, M.D.
• Layla Ali
• Feras T Alkhader, DDS
• Mazen A Alkhalisy, MD
• All About Hearing Service LLC
• Ernest J Allard, CSAC
• Allcare Dental & Dentures of Wi PC

• Prosthetic/Orthotic Supplier in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.