Petty, Bielik & Burke Orthodontics, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

060-001172 Issued in IL

Legal business name

PETTY, BIELIK & BURKE ORTHODONTICS, P.C.

Practice address

4233 W 95TH St
Oak Lawn, IL 60453-2623

Phone

(708) 636-2900

Fax

(708) 636-3337

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Marybeth Skinner

Title

Finance/Insurance

Phone

(708) 636-2900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kathryn L. Bielik, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oak Lawn, IL
  • NPI 1427207539
  NPD (past)
• Amy Lynn Seagraves, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Middleburg Heights, OH
  • NPI 1497382113
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1669624284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532623",
            "telephone_number": "708-636-2900",
            "fax_number": "708-636-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532623",
            "telephone_number": "708-636-2900",
            "fax_number": "708-636-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTY, BIELIK & BURKE ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "FINANCE/INSURANCE",
        "authorized_official_telephone_number": "708-636-2900"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "060-001172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Peterson, PT, DPT
• Susan N Peterson, RPH
• Karen L. Petracek, PA-C
• Amy Petraglia, DPT
• Jessica Lynn Petrisko, DNP, APRN
• William D. Petty, DDS, MS
• Sharon Therese Petzel, LCSW
• Nichole Natalie Pezeshki, LCSW
• Anna Kathryn Pfeiffer, PA-C
• Coleman Phair, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Oct 29, 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.