NPIMap

Organization Active NPI

Orthodontic Specialties, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockford, IL
National Provider Identifier
1548436579
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019020127 Issued in IL
Legal business name
ORTHODONTIC SPECIALTIES, P.C.
Practice address
2835 McFarland Rd
Suite a
Rockford, IL 61107-6819
Phone
(815) 636-2992
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Dean J Murphy
Title
President
Phone
(815) 636-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019020127 IL Primary

Addresses

Primary practice location

2835 McFarland Rd
Suite a
Rockford, IL 61107-6819

Mailing address

2835 McFarland Rd
Suite a
Rockford, IL 61107-6819
Phone (815) 636-2992

National Provider Directory

National Provider Directory

Locations

2835 McFarland Rd
Ste A
Rockford, IL 61107
Phone (815) 636-2992

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1548436579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 MCFARLAND RD",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076819",
            "telephone_number": "815-636-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 MCFARLAND RD",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076819",
            "telephone_number": "815-636-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALTIES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-636-2992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019020127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.