WALNUT RIDGE ORTHODONTICS
NPI 1629331608
Dentist - Orthodontics and Dentofacial Orthopedics in Mansfield, TX

Active since June 24, 2012
3807 E BROAD ST STE 101, MANSFIELD, TX 76063(682) 300-2300(682) 292-1373 Get Directions Write a Review

NPPES record last updated: June 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walnut Ridge Orthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALNUT RIDGE ORTHODONTICS (NPI 1629331608) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Mansfield, Texas and active in the NPI registry since June 2012. The organization lists Steven Machicek, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1629331608
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameWALNUT RIDGE ORTHODONTICS
Location Address3807 E BROAD ST STE 101Mansfield, TX 76063-5623
Mailing Address3807 E Broad St Ste 101Mansfield, TX 76063-5623 · (682) 300-2300 · Fax (682) 292-1373
Fax(682) 292-1373
Organization SubpartNo
Authorized OfficialSteven MachicekOrthodontist · (682) 300-2300
Enumeration DateJune 24, 2012
NPI 1629331608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 24724
Definition
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.
3807 E BROAD ST STE 101, Mansfield, TX 76063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3807 E BROAD ST STE 101
MANSFIELD, TX 76063
Internal Medicine
3807 E BROAD ST STE 101
MANSFIELD, TX 76063
Family Medicine
3807 E BROAD ST STE 101
MANSFIELD, TX 76063
Family Medicine
3807 E BROAD ST STE 101
MANSFIELD, TX 76063
Nurse Practitioner (Family)
3807 E BROAD ST STE 101
MANSFIELD, TX 76063
Nurse Practitioner (Family)
3807 E BROAD ST STE 101
MANSFIELD, TX 76063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walnut Ridge Orthodontics's NPI number?

The NPI number for Walnut Ridge Orthodontics is 1629331608. It was assigned to this organization in the NPPES registry on June 24, 2012.

Where is Walnut Ridge Orthodontics located?

Walnut Ridge Orthodontics is located at 3807 E Broad St Ste 101, Mansfield, TX 76063. The listed phone number is (682) 300-2300.

What is Walnut Ridge Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Walnut Ridge Orthodontics was last updated on June 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.