Organization Active NPI

Risus Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northbrook, IL
National Provider Identifier
1104441005
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RISUS ORTHODONTICS
Practice address
1340 Shermer Rd
Northbrook, IL 60062-4598
Phone
(847) 272-7550
Fax
(847) 272-7599
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Joseph Kunnel, DDS, PHD, MS
Title
Partner
Phone
(312) 317-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1340 Shermer Rd
Northbrook, IL 60062-4598

Mailing address

1340 Shermer Rd
Northbrook, IL 60062-4598
Phone (847) 272-7550

Other practice location 1

1775 Glenview Rd
Glenview, IL 60025-2956
Phone (847) 729-0930

National Provider Directory

National Provider Directory

Locations

1340 Shermer Rd
Northbrook, IL 60062
Phone (312) 620-0217

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1104441005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624598",
            "telephone_number": "847-272-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624598",
            "telephone_number": "847-272-7550",
            "fax_number": "847-272-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Glenview Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252956",
            "country_code": "US",
            "telephone_number": "847-729-0930",
            "fax_number": "847-272-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISUS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "KUNNEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-317-5647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD, MS"
    },
    "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": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.