Grayslake Orthodontics Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GRAYSLAKE ORTHODONTICS INC

Practice address

160 Commerce Dr
Suite 101
Grayslake, IL 60030-1601

Phone

(847) 548-4330

Fax

(847) 548-4335

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Don Friske

Title

Manager

Phone

(847) 548-4330

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.

• David Richard Hertzberg, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grayslake, IL
  • NPI 1578777447
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306805726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301601",
            "telephone_number": "847-548-4330",
            "fax_number": "847-548-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301601",
            "telephone_number": "847-548-4330",
            "fax_number": "847-548-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSLAKE ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-548-4330"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayslake Dental Studio PLLC
• Grayslake Eyecare Assoc LTD
• Grayslake Family Health Center SC
• Grayslake Fire Protection District
• Grayslake Oral and Maxillofacial Surgery
• Grayslake Rehabilitation and Complete Physical Therapy LLC
• Cheryl A Gross, RPH AND PHARM D
• James Alan Gross, MD
• Melanie Grupka
• Colleen Holmes Gundry

• Orthodontics and Dentofacial Orthopedics Dentistry in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.