Orland Square Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026130 Issued in IL

Legal business name

ORLAND SQUARE DENTAL

Practice address

62 Orland Square Dr Ste 104
Orland Park, IL 60462-6558

Phone

(708) 460-7440

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gadia Peabody

Title

General Dentist

Phone

(708) 460-7440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Stephen Rood, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1679648265
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1306172804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ORLAND SQUARE DR STE 104",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ORLAND SQUARE DR STE 104",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626558",
            "telephone_number": "708-460-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND SQUARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "PEABODY",
        "authorized_official_first_name": "GADIA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "708-460-7440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orland Podiatry Center, LLC
• Orland Premier Dental Inc
• Orland Primary Care Specialists
• Orland School District 135
• Orland Smiles Dental
• Orland Square Dental LLC
• Orland Square Universal Dental LLC
• Orland Square Universal Dental LLC
• Orland Therapy Specialists LTD
• Orland Township

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.