ORTHODONTIC CENTERS OF TEXAS (NPI# 1518086024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518086024 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC CENTERS OF TEXAS |
| Practice Address |
103 W Loop 281 Suite 462 Longview TX 75605-4653 |
| Practice Telephone | 9036631177 |
| Practice Fax Number | 9036631202 |
| Mailing Telephone | 9036631177 |
| Mailing Fax Number | 9036631202 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TANGA HANCOCK (OFFICE MANAGER) |
| Authorized Official Telephone | 9036631177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
103 W LOOP 281 SUITE 462 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734802 | Ifeanyi Emmanuel Elueze | Internal Medicine | 103 W Loop 281, Suite 700, Longview, TX 75605-4653 | 2005-10-18 |
| 1821475591 | Bhh of Gregg County and Region, LLC | Home Health | 103 W Loop 281, Suite 440, Longview, TX 75605-4653 | 2015-05-01 |
| 1508020678 | Bobbi Jean Dodge | Physical Therapy Assistant | 103 W Loop 281, Suite 800, Longview, TX 75605-4653 | 2008-07-17 |
| 1437337011 | Brandon Ward Lambie | Physical Therapist | 103 W Loop 281, Suite 800, Longview, TX 75605-4653 | 2008-02-05 |
| 1174714737 | April Gatson, Md | Family Medicine | 103 W Loop 281, Suite 750, Longview, TX 75605-4653 | 2007-08-07 |
| 1083735328 | Kevin Johns | Physical Therapist | 103 W Loop 281, Suite 800, Longview, TX 75605-4653 | 2007-04-03 |
| 1952429482 | Jane B. Ball | Physical Therapist | 103 W Loop 281, Longview, TX 75605-4653 | 2007-03-26 |
| 1417074055 | Kathryn Sue Langford | Occupational Therapist | 103 W Loop 281, Suite 800, Longview, TX 75605-4653 | 2007-03-26 |
| 1922123785 | Kyle Fitzgerald Lybarger | Physical Therapist | 103 W Loop 281, Longview, TX 75605-4653 | 2007-03-20 |
| 1881719623 | Lana Kay Wilson | Physical Therapist | 103 W Loop 281, Suite 800, Longview, TX 75605-4653 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1942699087 | Andrew Hansen | Dentist | 1405 Judson Rd, Longview, TX 75601-3918 | 2015-01-13 |
| 1205160843 | Adam Clark Spencer | Dentist | 2904 N. 4th St, Suite 107, Longview, TX 75605 | 2009-09-30 |
| 1831320993 | Peter C Wagner Dmd Ps | Dentist | 855 Broadway, Longview, WA 98632 | 2009-08-06 |
| 1326262130 | Carroll L Sherman | Dentist | 3006 H G Moseley Pkwy, Longview, TX 75605-2948 | 2007-04-12 |
| 1063533354 | Patrick Briscoe | Dentist | 3006 H G Mosley Pkwy, Longview, TX 75605-2948 | 2007-04-03 |
| 1366566291 | Michael Woodward Scott | Dentist | 2830 Bill Owens Pkwy, Longview, TX 75605-2102 | 2007-03-17 |
| 1659432565 | Lauren Cai | Dentist | 870 12th Ave, Longview, WA 98632-2404 | 2006-12-13 |
| 1427168541 | Sherman Sherman & Briscoe Orthodontics | Dentist | 3006 Hg Mosley, Longview, TX 75605-2948 | 2006-08-30 |
| 1134129224 | David Asbjorn Eikrem | Dentist | 855 11th Ave, Ste A, Longview, WA 98632 | 2005-07-29 |
| 1477073310 | Sherif Elbarnashawy | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2017-06-21 |
| Find all providers in LONGVIEW | ||||
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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.