Organization Active NPI

Westfallen Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Park Ridge, IL
National Provider Identifier
1730361791
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WESTFALLEN ORTHODONTICS, P.C.
Practice address
137 Vine Ave
Park Ridge, IL 60068-4139
Phone
(847) 823-5010
NPI assigned
Dec 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Authorized official

Name
Dr. Theresa Marie Westfallen, D.D.S., M.S.
Title
President
Phone
(847) 823-5010

Specialties & licenses 1

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

Addresses

Primary practice location

137 Vine Ave
Park Ridge, IL 60068-4139

Mailing address

137 Vine Ave
Park Ridge, IL 60068-4139
Phone (847) 823-5010

National Provider Directory

National Provider Directory

Locations

137 S Vine Ave
Park Ridge, IL 60068
Phone (847) 823-5010

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": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1730361791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 VINE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684139",
            "telephone_number": "847-823-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 VINE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684139",
            "telephone_number": "847-823-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFALLEN ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "WESTFALLEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-823-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., 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 Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.