NPIMap

Organization Active NPI

Children'S & Adolescent Dentistry, LTD

  • Pediatric Dentistry
  • Niles, IL
National Provider Identifier
1023032604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S & ADOLESCENT DENTISTRY, LTD
Practice address
9101 N Greenwood Ave
Suite 308
Niles, IL 60714-1499
Phone
(847) 299-1095
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leo D Morton, D.D.S.NPI 1205840329
Title
Vice President
Phone
(847) 299-1095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X IL Primary

Addresses

Primary practice location

9101 N Greenwood Ave
Suite 308
Niles, IL 60714-1499

Mailing address

9101 N Greenwood Ave
Suite 308
Niles, IL 60714-1499
Phone (847) 299-1095

National Provider Directory

National Provider Directory
Tax ID family
Children'S Adolescent Dentistry LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023032604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N GREENWOOD AVE",
            "address_2": "SUITE 308",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141499",
            "telephone_number": "847-299-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N GREENWOOD AVE",
            "address_2": "SUITE 308",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141499",
            "telephone_number": "847-299-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S & ADOLESCENT DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-299-1095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.