Organization Active NPI

Ortho2Smile

Doing business as Premier Orthodontics & Dental Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elmhurst, IL
National Provider Identifier
1154822526
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHO2SMILE
Doing business as
Premier Orthodontics & Dental Specialists
Practice address
501 S York St Ste a
Elmhurst, IL 60126-3966
Phone
(630) 279-5345
NPI assigned
Feb 21, 2018
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Corina Radu, DMDNPI 1336263714
Title
Owner Doctor
Phone
(630) 279-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

501 S York St Ste a
Elmhurst, IL 60126-3966

Mailing address

501 S York St Ste a
Elmhurst, IL 60126-3966
Phone (630) 279-5345

Other names 1

  • Premier Orthodontics & Dental Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ortho2Smile2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

501 S York St
Ste A
Elmhurst, IL 60126
Phone (630) 279-5345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1154822526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S YORK ST STE A",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263966",
            "telephone_number": "630-279-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S YORK ST STE A",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263966",
            "telephone_number": "630-279-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO2SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "RADU",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "630-279-5345",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthodontics & Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.