LUSTIG AND YOUNG ORTHODONTICS (NPI# 1306227731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306227731 |
| Entity Type | Organization |
| Organization Name | LUSTIG AND YOUNG ORTHODONTICS |
| Practice Address |
8450 Park Vista Blvd Fort Worth TX 76137-5731 |
| Mailing Address |
Po Box 100 Keller TX 76244-0100 |
| Practice Telephone | 8175141717 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | JEREMY LUSTIG (PARTNER) |
| Authorized Official Telephone | 8175141717 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
8450 PARK VISTA BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346858198 | Fpds Lyo Pllc | Dentist | 8450 Park Vista Blvd, Fort Worth, TX 76137-5731 | 2020-07-17 |
| 1083061964 | Alicia Griffin | Dentist | 8450 Park Vista Blvd, Fort Worth, TX 76137-5731 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| 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 |
|---|---|---|---|---|
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1447898093 | Evan Perkins | Dentist | 4763 Barwick Dr Ste 107, Fort Worth, TX 76132-1531 | 2019-12-13 |
| 1578060943 | Irish Abigail Martinez Tongco | Dentist | 3201 Western Center Blvd Ste 115, Fort Worth, TX 76137-7135 | 2018-04-11 |
| 1588087027 | Nicole Mahoney | Dentist | 9040 Hawley Dr, Fort Worth, TX 76244-6120 | 2014-02-03 |
| 1841545597 | Braces R Us PC | Dentist | 8337 Summer Park Dr, Fort Worth, TX 76123-1991 | 2012-07-18 |
| 1063798718 | Timber Creek Orthodontics, P.a. | Dentist | 12650 N Beach St, Suite 100, Fort Worth, TX 76244-4243 | 2011-10-26 |
| 1134449663 | Access Orthodontics of Berry, P.a. | Dentist | 4201 E Berry St, Suite #15, Fort Worth, TX 76105-5053 | 2010-06-07 |
| 1528211406 | Jacksboro Smiles By Wire, Pllc | Dentist | 2480 Jacksboro Hwy, Fort Worth, TX 76114-2201 | 2008-10-23 |
| 1366605719 | William G Paulus Dds Ms Inc | Dentist | 4901 Byers Ave, Fort Worth, TX 76107 | 2008-07-07 |
| 1801079124 | Ciro Cabal | Dentist | 5800 Boat Club Rd, Fort Worth, TX 76179-7773 | 2007-12-10 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on LUSTIG AND YOUNG ORTHODONTICS.
| 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.