Brent a Ito DMD Ms PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRENT A ITO DMD MS PC

Doing business as

Girgis Orthodontics

Practice address

7350 Janes Ave
Woodridge, IL 60517-2339

Phone

(630) 769-0707

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By 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. Brent A. Ito, DMD, MSNPI 1942812938

Title

President

Phone

(630) 769-0707

Specialties & licenses 1

Addresses

Other names 1

• Girgis Orthodontics Doing business as

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.

• Brent A. Ito, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodridge, IL
  • NPI 1942812938
  NPD Authorized official
• Robert F Girgis, ORTHODONTIST

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodridge, IL
  • NPI 1174651137
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1467221010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172339",
            "telephone_number": "630-769-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172339",
            "telephone_number": "630-769-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT A ITO DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "ITO",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-769-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girgis Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Marie Biskup, APN-CNP
• Deborah Ann Blake
• Joshua M Boyce, LCSW
• Latha Boyd, PHARMD
• Jacqueline Branson, DOCTOR OF PHARMACY
• Bridget Snyder Behavior Consulting PLLC
• Lakisha Britton, LSW
• Broad Chiropractic & Wellness PLLC (Broad Chiropractic & Wellness)
• Matthew Leon Broad, DC
• Abiodun Brown

• Dental Clinic/Center in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.