Allcare Orthodontic Center LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019026824 Issued in IL

Legal business name

ALLCARE ORTHODONTIC CENTER LLC

Practice address

842 W 31St St
Chicago, IL 60608-5837

Phone

(312) 804-8304

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Budi Kusnoto, DDS, MSNPI 1447349618

Title

President

Phone

(312) 804-8304

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Budi Kusnoto, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
  • NPI 1447349618
  NPD (past) Authorized official
• Angela W Lu, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
  • NPI 1093242794
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1457775710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W POLK ST STE 251",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052000",
            "telephone_number": "312-804-8304",
            "fax_number": "312-873-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085837",
            "telephone_number": "312-804-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE ORTHODONTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KUSNOTO",
        "authorized_official_first_name": "BUDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-804-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019026824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Haruko Allas, MD
• Ahmad Allaw
• Mohammed Basel Allaw
• Raad Hatim Allawi
• Allcare Discount Pharmacy Inc (Allcare Discount Pharmacy)
• Allcare Therapeutic System
• Megan Marie Allcock, LMFT
• Michelle Omotayo Alle, CRNA
• Amy Elizabeth Allegretti, MD
• Joseph P Allegretti, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, IL
• Providers in Chicago, 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 Feb 7, 2014; 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.