Organization Active NPI

Integral Orthodontics, LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mundelein, IL
National Provider Identifier
1194264903
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
INTEGRAL ORTHODONTICS, LTD
Practice address
379 N Seymour Ave
Mundelein, IL 60060-2322
Phone
(847) 970-3000
NPI assigned
Feb 14, 2017
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Ms. Nataly M Arboleda
Title
Manager
Phone
(954) 907-4492

Specialties & licenses 1

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

Addresses

Primary practice location

379 N Seymour Ave
Mundelein, IL 60060-2322

Mailing address

379 N Seymour Ave
Mundelein, IL 60060-2322
Phone (847) 970-3000

National Provider Directory

National Provider Directory

Locations

379 N Seymour Ave
Mundelein, IL 60060
Phone (847) 970-3000

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1194264903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602322",
            "telephone_number": "847-970-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602322",
            "telephone_number": "847-970-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL ORTHODONTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ARBOLEDA",
        "authorized_official_first_name": "NATALY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-907-4492",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.