Diamond Plus Orthodontics by Bubon Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DIAMOND PLUS ORTHODONTICS BY BUBON ORTHODONTICS

Practice address

241 Golf Mill Ctr Ste 905
Niles, IL 60714-1208

Phone

(847) 298-6030

NPI assigned

Feb 16, 2022

Organization subpart

Yes

Parent organization

BUBON & ASSOCIATES, ORTHODONTICS, SCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gretchen Wellner

Title

Director of Operations

Phone

(262) 522-7447

Specialties & licenses 1

Addresses

Part of

1Bubon Associates Orthodontics SC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Bubon, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waukesha, WI
  • NPI 1265497564
  NPD
• Ralph N. Robbins, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Niles, IL
  • NPI 1740493220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1013662246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 W LOOMIS RD STE 600",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329091",
            "telephone_number": "262-522-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 905",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141208",
            "telephone_number": "847-298-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND PLUS ORTHODONTICS BY BUBON ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUBON & ASSOCIATES, ORTHODONTICS, SC",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "WELLNER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "262-522-7447"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahil Desai, DO
• Jessica Devries, M.S., CF-SLP
• Sonal Dhanak, OTR/L
• Muhanad Diab
• Diagnostic Neurological Associates
• Karen C Dilfer, OTR
• Christopher Joseph Dimaano, DPT
• Discount Smile Group, Inc
• Lisa Ann Ditchek, PSYD
• Kelly Nora Djoum, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Niles, IL
• Providers in Niles, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.