FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS, PLLC (NPI# 1295976082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295976082 |
| Entity Type | Organization |
| Organization Name | FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS, PLLC |
| Practice Address |
7717 Outreau Dr Corpus Christi TX 78414-6148 |
| Practice Telephone | 3619850964 |
| Mailing Telephone | 3619850964 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | DR. DEJI V. FASHEMO (MEMBER) |
| Authorized Official Telephone | 3619850964 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
21639 | TX | Dental Providers |
| Street Address |
7717 OUTREAU DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-6148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881148344 | Alexander Dao | Dentist | 4117 S Staples St # 300, Corpus Christi, TX 78411-5505 | 2016-08-12 |
| 1558643825 | Sun Orthodontix of East Corpus Christi, Pllc | Dentist | 5733 S Padre Island Dr, Corpus Christi, TX 78412-3918 | 2011-09-13 |
| 1588857544 | Eric Thomas Vela | Dentist | 5826 Esplanade Dr Ste 301, 809 N. Flournoy Rd., Alice, Tx 78332, Corpus Christi, TX 78414-4173 | 2007-08-23 |
| 1891997367 | Corpus Christi Orthodontic Specialists Lp | Dentist | 5756 S Staples, Suite A-3, Corpus Christi, TX 78413-3782 | 2007-06-05 |
| 1295942431 | Richard L. Ingraham, Dds, Ms, Pa | Dentist | 5525 S Staples St Ste C, Corpus Christi, TX 78411-5366 | 2007-05-17 |
| 1013036722 | Roxanne G Robertson | Dentist | 4750 S Padre Island Dr Ste 101, Corpus Christi, TX 78411-4416 | 2007-03-28 |
| 1356460042 | Janet L Vaughan | Dentist | 4461 S Staples St, Corpus Christi, TX 78411-2601 | 2007-03-27 |
| 1922170885 | Daniel M Torres Bayona | Dentist | 6500 South Padre Island Dr, Suite 25, Corpus Christi, TX 78412-4055 | 2006-11-15 |
| 1942372719 | Daniel M Torres-bayona | Dentist | 6500 South Padre Island Drive, Suite 25, Corpus Christi, TX 78412-4055 | 2006-11-15 |
| 1306898481 | National Orthodontix Management, LLC | Dentist | 1620 S Padre Island Dr, Suite 230b, Corpus Christi, TX 78416-1353 | 2006-05-17 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
Please comment or provide details below to improve the information on FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.