Active NPI
Orthodontic Experts of Colorado, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Littleton, CO
National Provider Identifier
1104331255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- ORTHODONTIC EXPERTS OF COLORADO, PLLC
- Practice address
- 9200 W Cross Dr Ste 426
Littleton, CO 80123-0760 - Phone
- (847) 749-4340
- NPI assigned
- Dec 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monika Bzdal
- Title
- Manager
- Phone
- (773) 801-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
9200 W Cross Dr Ste 426
Littleton, CO 80123-0760
Mailing address
1250 W Northwest Hwy
Mount Prospect, IL 60056-2274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019028280 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Orthodontic Experts of Colorado PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
- NPI 1497261648
Locations
9200 W Cross Dr
Ste 426
Littleton, CO 80123
Phone (303) 972-2898
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
- NPI 1497261648
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Arlington Heights, IL
- NPI 1730408915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576108800000",
"number": "1104331255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W NORTHWEST HWY",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600562274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W CROSS DR STE 426",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801230760",
"telephone_number": "847-749-4340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHODONTIC EXPERTS OF COLORADO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A",
"authorized_official_last_name": "BZDAL",
"authorized_official_first_name": "MONIKA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "773-801-7171"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019028280",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.