NPIMap

Organization Active NPI

Chicago Pediatric Dentistry and Orthodontics PLLC

  • Pediatric Dentistry
  • Glen Ellyn, IL
National Provider Identifier
1235056441
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC
Doing business as
Glen Ellyn Pediatric Dentistry and Orthodontics
Practice address
799 Roosevelt Rd, Building 4, Ste 100
Glen Ellyn, IL 60137-5908
Phone
(630) 756-5151
NPI assigned
Jun 30, 2026
Organization subpart
Yes
Parent organization
CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dr. Justin Welke, DDS
Title
Owner
Phone
(630) 886-1780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

799 Roosevelt Rd, Building 4, Ste 100
Glen Ellyn, IL 60137-5908

Mailing address

799 Roosevelt Rd Building 4, Ste 100
Glen Ellyn, IL 60137-5908
Phone (630) 756-5151

Other names 1

  • Glen Ellyn Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chicago Pediatric Dentistry and Orthodontics PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

799 Roosevelt Rd
Bldg 4
Glen Ellyn, IL 60137
Phone (630) 474-9500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1235056441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD BUILDING 4, STE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-756-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD, BUILDING 4, STE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-756-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "WELKE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-886-1780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Ellyn Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.