NPIMap

Organization Active NPI

Orthodontic Experts, LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Joliet, IL
National Provider Identifier
1295379691
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIC EXPERTS, LTD
Practice address
1351 N Larkin Ave
Joliet, IL 60435-3753
Phone
(847) 749-4340
NPI assigned
Oct 30, 2019
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHODONTIC EXPERTS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Reina Soriano
Title
Credentialing
Phone
(773) 904-2984

Specialties & licenses 1

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

Addresses

Primary practice location

1351 N Larkin Ave
Joliet, IL 60435-3753

Mailing address

1351 N Larkin Ave
Joliet, IL 60435-3753
Phone (847) 749-4340

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Experts23 organizations share this tax ID, including this one
Part of
Orthodontic Experts

Other organizations with this tax ID 22

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

View all 22

Locations

1351 N Larkin Ave
Joliet, IL 60435

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1295379691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353753",
            "telephone_number": "847-749-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353753",
            "telephone_number": "847-749-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC EXPERTS, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC EXPERTS LTD",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "REINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "773-904-2984"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

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