AUSTIN ORTHODONTIC SPECIALISTS (NPI# 1720132905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720132905 |
| Entity Type | Organization |
| Organization Name | AUSTIN ORTHODONTIC SPECIALISTS |
| Practice Address |
6425 South Ih-35 Suite 100 Austin TX 78744-4230 |
| Practice Telephone | 5124475194 |
| Practice Fax Number | 5124477848 |
| Mailing Telephone | 5124475194 |
| Mailing Fax Number | 5124477848 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL MARTIN DILLINGHAM (ORTHODONTIST) |
| Authorized Official Telephone | 5124475194 |
| Authorized Official Credential | D.D.S., P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
15903 | TX | Dental Providers |
| Street Address |
6425 SOUTH IH-35 SUITE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
| Find all providers in zip 78744 | ||||
| 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 |
|---|---|---|---|---|
| 1255999884 | Catalina Zambrano Martinez | Dentist | 505 W Louis Henna Blvd Ste 110, Austin, TX 78728-1702 | 2019-05-29 |
| 1588120216 | Candid Texas P.a. | Dentist | 500 N Lamar Blvd, Austin, TX 78703-5264 | 2019-02-19 |
| 1396211082 | Mathue Ortho Pllc | Dentist | 6012 W William Cannon Dr Ste D103, Austin, TX 78749-1979 | 2018-10-19 |
| 1477049690 | Parmer Lane Orthodontics PC | Dentist | 2121 W Parmer Ln Ste 111, Austin, TX 78727-4360 | 2018-07-11 |
| 1891289179 | Corey Steven Romero | Dentist | 8716 Research Blvd Ste 125, Austin, TX 78758-6598 | 2018-06-19 |
| 1114426640 | Jaladhi Patel | Dentist | 7517 Cameron Rd Ste 106, Austin, TX 78752-2055 | 2018-02-11 |
| 1851815997 | Vincent Vivinetto Napoli | Dentist | 2525 W Anderson Ln # 399, Austin, TX 78757-1180 | 2017-07-31 |
| 1104364710 | Lspd At Circle C, Pllc | Dentist | 5900 W Slaughter Ln Ste 470, Austin, TX 78749-6513 | 2017-02-02 |
| 1316493844 | Laguna Dental and Orthodontics, Pllc | Dentist | 214 Barton Springs Rd, #1417, Austin, TX 78704-1281 | 2016-08-25 |
| 1215481346 | Brian St. Louis | Dentist | 3413 W Slaughter Ln, Austin, TX 78748-5711 | 2016-08-05 |
| 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.