BRYAN ELVEBAK (NPI# 1033351408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033351408 |
| Entity Type | Individual |
| Full Name | BRYAN ELVEBAK |
| Credential | DDS |
| Practice Address |
6225 Chapel Hill Blvd Plano TX 75093-6392 |
| Practice Telephone | 9729312700 |
| Mailing Telephone | 9729312700 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20522 | TX | Dental Providers |
| Street Address |
6225 CHAPEL HILL BLVD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-6392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439699 | Elvebak Orthodontics, Pa | Dentist | 6225 Chapel Hill Blvd, Plano, TX 75093-6392 | 2005-06-30 |
| 1750682142 | Grill Repair, P. A. | Dentist | 6225 Chapel Hill Blvd, Plano, TX 75093-6392 | 2010-11-16 |
| 1134251515 | Courtney Beth Carr | Dentist | 6225 Chapel Hill Blvd, Plano, TX 75093-6392 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1689109977 | Scott Law Ortho Corp, PC | Dentist | 840 Central Pkwy E Ste 100, Plano, TX 75074-5569 | 2017-04-25 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1003242660 | Willow Bend Orthodontics, Pllc | Dentist | 5400 W Plano Pkwy Ste 250, Plano, TX 75093-4854 | 2013-09-16 |
| 1538390091 | David Charles Becka | Dentist | 609 W 15th St Ste 130, Plano, TX 75075-8862 | 2009-07-31 |
| 1780843383 | Sarah Cathryn Pollan | Dentist | 5800 Coit Rd Ste 500, Plano, TX 75023-5946 | 2008-06-09 |
| 1871715144 | George Quinlan Adams | Dentist | 2845 Parkwood Blvd. #100, Plano, TX 75093 | 2007-05-03 |
| 1114045267 | Packard Orthodontics Pa | Dentist | 840 Central Pkwy E, Suite 100, Plano, TX 75074-5551 | 2007-03-27 |
| 1770616880 | Xiaohong Chu | Dentist | 4105 W Spring Creek Pkwy Ste 506, Plano, TX 75024-5302 | 2007-03-14 |
| 1811035181 | Patrick Chen | Dentist | 4865 Hedgcoxe Rd, Suite # 200, Plano, TX 75024-2406 | 2007-02-01 |
| 1790861888 | Gerald Kyle Crain | Dentist | 6837 Coit Rd, Plano, TX 75024-5417 | 2006-10-31 |
| Find all providers in PLANO | ||||
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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.