South Park Ortho PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTH PARK ORTHO PLLC

Practice address

401 W Talcott Rd
Park Ridge, IL 60068-5408

Phone

(847) 318-7711

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Robert Cory Stites

Title

Insurance Coordinator-Decision One

Phone

(630) 869-5857

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.

• Karen Homsi, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Park Ridge, IL
  • NPI 1508597543
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1396319711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734955",
            "telephone_number": "630-869-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W TALCOTT RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685408",
            "telephone_number": "847-318-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARK ORTHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR-DECISION ONE",
        "authorized_official_telephone_number": "630-869-5857"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhvani Soni, OTR/L
• Priya Yashvant Soni, MD
• Michael Carl Sons
• Sonus-USA, Inc.
• Luda Mila Sorin, M.D.
• South Park Orthodontics LTD (DiFranco Orthodontics)
• Mary J Sowinski, DC
• Aisha Sozzer, M.D.
• Clifford S. Spanierman, MD
• Abbigail Tenge Sparks

• Orthodontics and Dentofacial Orthopedics Dentistry in Park Ridge, IL
• Providers in Park Ridge, 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 May 19, 2021; 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.