South Park Orthodontics LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTH PARK ORTHODONTICS LTD

Doing business as

DiFranco Orthodontics

Practice address

401 W Talcott Rd Ste 5408
Park Ridge, IL 60068-5408

Phone

(847) 318-7711

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• DiFranco Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1396349056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W TALCOTT RD STE 5408",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685408",
            "telephone_number": "847-318-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W TALCOTT RD STE 5408",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685408",
            "telephone_number": "847-318-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARK ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "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": [
        {
            "organization_name": "DiFranco Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priya Yashvant Soni, MD
• Michael Carl Sons
• Sonus-USA, Inc.
• Luda Mila Sorin, M.D.
• South Park Ortho PLLC
• Mary J Sowinski, DC
• Aisha Sozzer, M.D.
• Clifford S. Spanierman, MD
• Abbigail Tenge Sparks
• Rebecca Hannah Spasari, MD

• 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 Nov 24, 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.