Organization Active NPI

Mount Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Georgetown, TX
National Provider Identifier
1972487593
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MOUNT ORTHODONTICS, PLLC
Practice address
4873 Williams Dr Ste 105
Georgetown, TX 78633-2428
Phone
(512) 508-6104
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Jeffrey Tanner Mount, DDSNPI 1568192821
Title
Owner
Phone
(512) 508-6104

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 Primary

Addresses

Primary practice location

4873 Williams Dr Ste 105
Georgetown, TX 78633-2428

Mailing address

310 Running M St
Georgetown, TX 78633-2908
Phone (512) 508-6104

National Provider Directory

National Provider Directory

Locations

4873 Williams Dr
Ste 105
Georgetown, TX 78633
Phone (512) 508-6104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1972487593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 RUNNING M ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332908",
            "telephone_number": "512-508-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 WILLIAMS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332428",
            "telephone_number": "512-508-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-508-6104",
        "authorized_official_credential": "DDS"
    },
    "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 Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.