Deerfield Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DEERFIELD ORTHODONTICS PC

Doing business as

Eisen Orthodontics

Practice address

710 Robert York Ave Ste a
Deerfield, IL 60015-4343

Phone

(847) 444-0022

Fax

(847) 444-0033

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eric Jay Eisen, DDS MSNPI 1043498868

Title

President

Phone

(847) 212-1250

Specialties & licenses 1

Addresses

Other names 1

• Eisen Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Jay Eisen, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Deerfield, IL
  • NPI 1043498868
  NPD (past) Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1477731297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ROBERT YORK AVE STE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154343",
            "telephone_number": "847-444-0022",
            "fax_number": "847-444-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ROBERT YORK AVE STE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154343",
            "telephone_number": "847-444-0022",
            "fax_number": "847-444-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-212-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "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": "Eisen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Decanio
• Nona Gayle Decastro, PHARMD
• Deer Grove Counseling PLLC
• Deerfield Dermatology Associates, LTD.
• Deerfield Medical Associates,S.C.
• Deerfield Physical Therapy, LTD
• Deerfield SLF Limited Partnership (Deerfield Supportive Living)
• Deerfield-Bannockburn Fire Department
• Dental Professionals of Illinois, P.C. (Briarwood Park Dental Care)
• Khyati Desai, PHARM D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Deerfield, IL
• Providers in Deerfield, 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 4, 2008; 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.