Alton Area Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19024626 Issued in IL

Legal business name

ALTON AREA ORTHODONTICS

Practice address

1816 Main St
Alton, IL 62002-4724

Phone

(618) 462-1081

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By 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

C. David Brickman, D.D.S., M.S.

Title

Orthodontist

Phone

(618) 462-1081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487859674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 MAIN ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024724",
            "telephone_number": "618-462-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 MAIN ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024724",
            "telephone_number": "618-462-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON AREA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "16184621081",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "19024626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark M Allendorph, M.D.
• Amaka Alozie, MD
• Alternatives Counseling, Inc
• Alternatives Counseling, Inc.
• Alternatives Counseling, Inc.
• Alton Center of Bone and Joint Surgery (Riverbend Orthopedics)
• Alton Community Unit School District #11
• Alton Medical Rehabiltation
• Alton Memorial Hospital
• Alton Memorial Hospital

• Orthodontics and Dentofacial Orthopedics Dentistry in Alton, IL
• Providers in Alton, 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 Aug 22, 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.