Kelsey & Jo Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

060006833 Issued in IL

Legal business name

KELSEY & JO ORTHODONTICS

Practice address

332 Skokie Valley Rd
Suite # 222
Highland Park, IL 60035-4415

Phone

(847) 831-1100

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

John Henry Kelsey, D.D.S., M.S.

Title

Preseident

Phone

(847) 831-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1053579219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE # 222",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415",
            "telephone_number": "847-831-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE # 222",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415",
            "telephone_number": "847-831-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY & JO ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "847-831-1100",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "060006833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Highland Park, IL
• Providers in Highland Park, 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 May 23, 2008; 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.