BOZEMAN TRAIL ORTHODONTICS PC (NPI# 1467561167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467561167 |
| Entity Type | Organization |
| Organization Name | BOZEMAN TRAIL ORTHODONTICS PC |
| Practice Address |
932 South David St Casper WY 82601 |
| Practice Telephone | 3072378419 |
| Practice Fax Number | 3072344912 |
| Mailing Telephone | 3072378419 |
| Mailing Fax Number | 3072344912 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES LEWIS WETZEL JR. (PRESIDENT) |
| Authorized Official Telephone | 3072378419 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
546 | WY | Ambulatory Health Care Facilities |
| Street Address |
932 SOUTH DAVID ST |
| City | CASPER |
| State | WY |
| Zip Code | 82601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881194280 | 2nd Street Dental, LLC | Clinic/Center | 2546 E 2nd St Ste 300, Casper, WY 82609-2062 | 2018-02-13 |
| 1861909939 | Toft Family Dental PC | Clinic/Center | 1555 E 12th St, Casper, WY 82601-4002 | 2018-01-10 |
| 1649528456 | Aspen Ridge Dental LLC | Clinic/Center | 1122 S Conwell St, Casper, WY 82601-3965 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
| 1497394068 | Star Valley Dental 1 LLC | Clinic/Center | 725 N Washington St, Afton, WY 83110-1390 | 2019-12-31 |
| 1467090571 | Scott Dental LLC | Clinic/Center | 1212 S. River Street, Saratoga, WY 82331 | 2019-12-19 |
| 1508322603 | Blacks Fork Dental, PC | Clinic/Center | 650 Parkway Dr, Mt View, WY 82939 | 2019-02-13 |
| 1033699533 | Oak Haven Dental | Clinic/Center | 8125 State Highway 789, Lander, WY 82520-2926 | 2018-08-15 |
| 1801337902 | Dental Arts PC | Clinic/Center | 3421 E Garfield St, Laramie, WY 82070-5163 | 2017-03-09 |
| 1669916334 | Braces U Wyoming PC | Clinic/Center | 6900 Yellowtail Rd Ste 100, Cheyenne, WY 82009-6102 | 2016-12-14 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1003069865 | Wyoming Cosmetic and Family Dental | Clinic/Center | 4620 Grandview Ave, Cheyenne, WY 82009-4963 | 2008-10-24 |
| 1780207811 | Graham Family Dental | Clinic/Center | 325 W Main St Ste G, Riverton, WY 82501-3448 | 2020-05-23 |
| Find all providers with the same taxonomy | ||||
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| 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.