Active NPI
Taha Orthodontics PC
Doing business as Panacea Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oak Brook, IL
National Provider Identifier
1215566419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | panaceaorthodontics.com | Other |
National Provider Directory
National Provider DirectoryNPI 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.