NORTH TEXAS PEDIATRIC AND ORTHODONTICS, PLLC (NPI# 1730419391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730419391 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS PEDIATRIC AND ORTHODONTICS, PLLC |
| Practice Address |
2109 W. University Ave. Denton TX 76201 |
| Practice Telephone | 9406650700 |
| Practice Fax Number | 9406120727 |
| Mailing Telephone | 9406650700 |
| Mailing Fax Number | 9406120727 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | BRYAN S ELVEBAK (OWNER) |
| Authorized Official Telephone | 9406650700 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
25036 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
19950 | TX | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20522 | TX | Dental Providers |
| Street Address |
2109 W. UNIVERSITY AVE. |
| City | DENTON |
| State | TX |
| Zip Code | 76201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| 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 |
|---|---|---|---|---|
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1477843027 | Nima Rohani | Dentist | 5017 Teasley Lane, #165, Denton, TX 76210 | 2011-04-17 |
| 1932228103 | Bowen Miles | Dentist | 2430 Lillian Miller Pkwy, Denton, TX 76205-2909 | 2007-03-28 |
| 1598871311 | Karl Sweetman | Dentist | 515 Londonderry Ln, Denton, TX 76205-5337 | 2006-08-22 |
| 1144876426 | Timothy Depalma Dds Pllc | Dentist | 1314 N Locust St, Denton, TX 76201-3038 | 2019-08-13 |
| 1215414917 | Robert Laraway | Dentist | 601 N 6th St, Denton, MD 21629-3356 | 2018-07-25 |
| 1235623984 | Chris L. Cramer, Dds Pllc | Dentist | 1308 Crescent St, Denton, TX 76201-2702 | 2018-06-17 |
| 1487143947 | Terry Leon Lowry | Dentist | 2430 Lillian Miller Pkwy, Denton, TX 76205-2909 | 2018-05-09 |
| 1679709968 | Shane Rex Tolleson | Dentist | 1719 S Loop 288 Ste 110, Denton, TX 76205-4810 | 2009-06-01 |
| 1184844839 | William Covington Buchanan Jr. | Dentist | 515 Londonderry Ln, Denton, TX 76205-5337 | 2007-04-26 |
| Find all providers in DENTON | ||||
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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.