Naperville Orthodontic Associates, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021-000784 Issued in IL

Legal business name

NAPERVILLE ORTHODONTIC ASSOCIATES, P.C.

Practice address

25W380 Chicago Ave
Naperville, IL 60540-5806

Phone

(630) 995-3547

Fax

(630) 995-3547

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas R Prince, D.D.S.

Title

Owner

Phone

(630) 995-3547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1821366915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25W380 CHICAGO AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405806",
            "telephone_number": "630-995-3547",
            "fax_number": "630-995-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25W380 CHICAGO AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405806",
            "telephone_number": "630-995-3547",
            "fax_number": "630-995-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE ORTHODONTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-995-3547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021-000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Naperville, IL
• Providers in Naperville, 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, 2011; 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.