Otragen Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

OTRAGEN ORTHODONTICS PC

Practice address

1500 Shermer Rd
Suite #100
Northbrook, IL 60062-5340

Phone

(224) 223-8116

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Edna Doyla

Title

Treatment Coordinator

Phone

(224) 223-8116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1821241290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "address_2": "SUITE #100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "224-223-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "address_2": "SUITE #100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "224-223-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTRAGEN ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "DOYLA",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "224-223-8116"
    },
    "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": []
}

• Cleidy Evelyng Ortiz-Greene, LCSW, CADC
• Skye Taylor Osborne
• Angela Osha, APRN
• Rebekka Vail Ostergaard, P.T.
• Ryan Ostry
• Ellen F. Otto
• Ian Overn
• Amber Overzet
• Joseph William Owen, PHARMD
• Elizabeth Owens-Hunter, RBT 18-56959

• Orthodontics and Dentofacial Orthopedics Dentistry in Northbrook, IL
• Providers in Northbrook, 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 Dec 5, 2013; 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.