Organization Active NPI

Taha Orthodontics PC

Doing business as Panacea Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oak Brook, IL
National Provider Identifier
1215566419
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TAHA ORTHODONTICS PC
Doing business as
Panacea Orthodontics
Practice address
1919 Midwest Rd Ste 201
Oak Brook, IL 60523-1318
Phone
(630) 400-5522
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Hala Taha, DDS, MS, ABO
Title
Manager
Phone
(630) 400-5522

Specialties & licenses 1

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

Addresses

Primary practice location

1919 Midwest Rd Ste 201
Oak Brook, IL 60523-1318

Mailing address

12 Dover Dr
Oak Brook, IL 60523-2363
Phone (630) 400-5522

Other names 1

  • Panacea Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL panaceaorthodontics.com Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1215566419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOVER DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232363",
            "telephone_number": "630-400-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MIDWEST RD STE 201",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231318",
            "telephone_number": "630-400-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHA ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "HALA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-400-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, ABO"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "panaceaorthodontics.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "panaceaorthodontics.com",
            "address_1": "1919 Midwest Rd Ste 201",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Panacea Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.