JEANNIE ORTHODONTICS PA (NPI# 1639482029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639482029 |
| Entity Type | Organization |
| Organization Name | JEANNIE ORTHODONTICS PA |
| Practice Address |
2237 E Riverside Dr Austin TX 78741-3051 |
| Mailing Address |
2621 Ridgepoint Dr Suite 130 Austin TX 78754-5232 |
| Practice Telephone | 5127446000 |
| Practice Fax Number | 5128927205 |
| Mailing Telephone | 5127446000 |
| Mailing Fax Number | 5128927205 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | KAREN CANTU (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5127446000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376856765 | Jeannie Orthodontics Pa | Dentist | 5339 N Ih 35, Suite 100, Austin, TX 78723-2428 | 2010-07-14 |
| 1093028490 | Jeannie Orthodontics Pa | Dentist | 9411 N Lamar Blvd, Austin, TX 78753-4178 | 2010-07-14 |
| Street Address |
2237 E RIVERSIDE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467765800 | Trueblood Dental Associates | Dentist | 2237 E Riverside Dr, Austin, TX 78741-3051 | 2010-07-14 |
| 1881085512 | Loni Peralez | Speech-Language Pathologist | 2237 E Riverside Dr, Austin, TX 78741-3051 | 2015-02-17 |
| 1396045407 | Glenn Wood Md Pa | Pediatrics | 2237 E Riverside Dr, Suite 101-c, Austin, TX 78741-3051 | 2010-10-25 |
| 1013221811 | Van Dyke Dental Associates, Pa | Dentist | 2237 E Riverside Dr, Austin, TX 78741-3051 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.