Organization Active NPI

Ladner and Jain Orthodontics, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Galesburg, IL
National Provider Identifier
1588204309
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LADNER AND JAIN ORTHODONTICS, LLP
Practice address
1171 N Henderson St
Galesburg, IL 61401-2523
Phone
(309) 343-8727
Fax
(309) 342-0491
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Angie Gunther
Title
Treatment Coordinator
Phone
(309) 343-8727

Specialties & licenses 1

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

Addresses

Primary practice location

1171 N Henderson St
Galesburg, IL 61401-2523

Mailing address

1171 N Henderson St
Galesburg, IL 61401-2523
Phone (309) 343-8727

Other names 1

  • Ladner Orthodontics Former legal business name

National Provider Directory

National Provider Directory

Locations

1171 N Henderson St
Galesburg, IL 61401
Phone (309) 343-8727

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1588204309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012523",
            "telephone_number": "309-343-8727",
            "fax_number": "309-342-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012523",
            "telephone_number": "309-343-8727",
            "fax_number": "309-342-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADNER AND JAIN ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "GUNTHER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "309-343-8727"
    },
    "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": "Ladner Orthodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.