GRILL REPAIR, P.A. (NPI# 1346560489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346560489 |
| Entity Type | Organization |
| Organization Name | GRILL REPAIR, P.A. |
| Other Organization Name | SAGINAW ORTHODONTICS |
| Practice Address |
705 W Bailey Boswell Rd Saginaw TX 76179-1020 |
| Practice Telephone | 8178976006 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | BRYAN ELVEBAK (OWNER/PARTNER) |
| Authorized Official Telephone | 8178976006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20522 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1033351408 | 05 |
| Other Name | Type Code |
|---|---|
| Saginaw Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831490226 | Grill Repair, P.a. | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2010-11-16 |
| Street Address |
705 W BAILEY BOSWELL RD |
| City | SAGINAW |
| State | TX |
| Zip Code | 76179-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477704336 | Janene Sperandeo | Dentist | 705 W Bailey Boswell Rd, Saginaw, TX 76179-1020 | 2008-10-08 |
| 1669080487 | Eagle Mountain Pediatric Dentistry | Dentist | 705 W Bailey Boswell Rd, Saginaw, TX 76179-1020 | 2020-07-17 |
| 1952749814 | Chelsea Nicole Felton | Chiropractor | 705 W Bailey Boswell Rd, 200, Saginaw, TX 76179-1020 | 2013-06-12 |
| 1700140787 | Nicole M Minatrea | Chiropractor | 705 W Bailey Boswell Rd, Ste 200, Saginaw, TX 76179-1020 | 2012-06-25 |
| 1538483466 | Chiropractic & Rehab Centers, Inc | Chiropractor | 705 W Bailey Boswell Rd, Saginaw, TX 76179-1020 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| 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 |
|---|---|---|---|---|
| 1285023945 | Richard J. Resler, Dmd, Msd, Plc | Dentist | 5545 Colony Dr N Ste 2, Saginaw, MI 48638-7188 | 2015-01-20 |
| 1417389933 | Gilmore Orthodontics Pllc | Dentist | 604 E Bailey Boswell Rd Ste 150, Saginaw, TX 76131-3574 | 2013-08-07 |
| 1184974925 | Michael John Thomas | Dentist | 5355 Colony Dr. N., Ste. 1, Saginaw, MI 48638-7153 | 2012-09-19 |
| 1992950042 | Omar Fetouh | Dentist | 900 N Blue Mound Rd, Suite 128, Saginaw, TX 76131-4810 | 2008-11-17 |
| 1699858738 | Charles Wesley Carey | Dentist | 5355 Colony Dr N, Saginaw, MI 48638-7190 | 2006-10-23 |
| 1144254160 | Larry W Leddy | Dentist | 5355 Colony Drive North, Saginaw, MI 48638-7190 | 2006-07-10 |
| 1396360707 | Real Smiles, LLC | Dentist | 604 E Bailey Boswell Rd Ste 150, Saginaw, TX 76131-3574 | 2020-06-11 |
| 1376975334 | Richard Resler Jr. | Dentist | 5545 Colony Dr N, Suite #2, Saginaw, MI 48638-7188 | 2013-08-01 |
| 1841559440 | Access Orthodontics of Saginaw Pa | Dentist | 601 N Saginaw Blvd, 100, Saginaw, TX 76179-1224 | 2012-05-16 |
| 1093028169 | Omar Fetouh, D.d.s., M.s., P.C. | Dentist | 900 N Blue Mound Rd, Suite 125, Saginaw, TX 76131-4810 | 2010-07-19 |
| Find all providers in SAGINAW | ||||
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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.