Collinsville Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

COLLINSVILLE ORTHODONTICS PLLC

Practice address

93 Crestmoor St
Collinsville, IL 62234-4952

Phone

(618) 345-0230

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Rebecca Schreiner, DDS

Title

Orthodontist

Phone

(618) 345-0230

Specialties & licenses 1

Addresses

Other names 1

• Amazing Smiles Orthodontics Doing business as

Locations

Practitioners 2

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

• Rebecca Jayne Fornero, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Collinsville, IL
  • NPI 1114930823
  NPD (past)
• Nancy Lin, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • University City, MO
  • NPI 1427431220
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1073147682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CRESTMOOR ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344952",
            "telephone_number": "618-345-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CRESTMOOR ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344952",
            "telephone_number": "618-345-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINSVILLE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "618-345-0230",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "organization_name": "Amazing Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Clark, LPC
• Jane Clarkston
• Cole Vision Corporation
• Collinsville Hco, LLC
• Collinsville Hco, LLC
• Collinsville Pediatric Dentistry PLLC
• Collinsville Physical Therapy & Wellness, LLC
• Collinsville Unit School District #10
• Complete Spine and Performance LLC
• Courtney Gene Cooper, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Collinsville, IL
• Providers in Collinsville, 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 24, 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.