Dallas Orthodontic Specialists PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30541 Issued in TX

Legal business name

DALLAS ORTHODONTIC SPECIALISTS PLLC

Doing business as

OrthodonTEX

Practice address

3018 Ridge Rd
Suite 110
Rockwall, TX 75032-5811

Phone

(972) 722-1500

NPI assigned

Mar 13, 2016

Last updated

Mar 13, 2016By 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

Dr. Douglas Robert Shaw, DDS, MS

Title

Managing Partner

Phone

(972) 722-1500

Specialties & licenses 1

Addresses

Other names 1

• OrthodonTEX Doing business as

Locations

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1982065330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 RIDGE RD",
            "address_2": "SUITE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325811",
            "telephone_number": "972-722-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 RIDGE RD",
            "address_2": "SUITE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325811",
            "telephone_number": "972-722-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ORTHODONTIC SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-722-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthodonTEX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.