Organization Active NPI

Yourthodontist Limited

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Downers Grove, IL
National Provider Identifier
1679788319
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
YOURTHODONTIST LIMITED
Practice address
1330 Ogden Avenue
Downers Grove, IL 60515-2772
Phone
(630) 515-2727
Fax
(419) 735-6033
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Meenakshi Balakrishnan, D.M.D., M.S.NPI 1245445964
Title
President
Phone
(630) 515-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1330 Ogden Avenue
Downers Grove, IL 60515-2772

Mailing address

195 North Harbor Drive
#1304
Chicago, IL 60601-7528
Phone (630) 515-2727

National Provider Directory

National Provider Directory

Locations

1330 Ogden Ave
Downers Grove, IL 60515
Phone (630) 515-2727

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1679788319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 NORTH HARBOR DRIVE",
            "address_2": "#1304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017528",
            "telephone_number": "630-515-2727",
            "fax_number": "419-735-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OGDEN AVENUE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152772",
            "telephone_number": "630-515-2727",
            "fax_number": "419-735-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURTHODONTIST LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "BALAKRISHNAN",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-515-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.