NPIMap

Organization Active NPI

Khalil Takla DDS & Associates PC

Doing business as Orland Dental Care

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1669643342
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025135 Issued in IL
Legal business name
KHALIL TAKLA DDS & ASSOCIATES PC
Doing business as
Orland Dental Care
Practice address
14360 S la Grange Rd
Unit C
Orland Park, IL 60462-2063
Phone
(708) 364-8900
Fax
(708) 364-9875
NPI assigned
Mar 20, 2008
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Khalil Takla, DDSNPI 1306916465
Title
Owner
Phone
(708) 364-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Dentistry 1223G0001X 019025135 IL Primary

Addresses

Primary practice location

14360 S la Grange Rd
Unit C
Orland Park, IL 60462-2063

Mailing address

14360 S la Grange Rd
Unit C
Orland Park, IL 60462-2063
Phone (708) 364-8900

Other names 1

  • Orland Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

14360 S La Grange Rd
Unit C
Orland Park, IL 60462
Phone (708) 364-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1669643342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 S LA GRANGE RD",
            "address_2": "UNIT C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622063",
            "telephone_number": "708-364-8900",
            "fax_number": "708-364-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 S LA GRANGE RD",
            "address_2": "UNIT C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622063",
            "telephone_number": "708-364-8900",
            "fax_number": "708-364-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL TAKLA DDS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-364-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.