NPIMap

Organization Active NPI

Orthodontic Experts of Indiana, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portage, IN
National Provider Identifier
1841143567
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIC EXPERTS OF INDIANA, LLC
Practice address
5997 Central Ave
Portage, IN 46368-2944
Phone
(219) 232-9056
NPI assigned
Feb 20, 2026
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHODONTIC EXPERTS OF INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Irena Rakhmetzyanov
Title
VP
Phone
(224) 628-0322

Specialties & licenses 1

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

Addresses

Primary practice location

5997 Central Ave
Portage, IN 46368-2944

Mailing address

5997 Central Ave
Portage, IN 46368-2944
Phone (219) 232-9056

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Experts of Indiana LLC6 organizations share this tax ID, including this one
Part of
Orthodontic Experts of Indiana LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5997 Central Ave
Portage, IN 46368
Phone (219) 232-9056

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1841143567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5997 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682944",
            "telephone_number": "219-232-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5997 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682944",
            "telephone_number": "219-232-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC EXPERTS OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC EXPERTS OF INDIANA, LLC",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "RAKHMETZYANOV",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "224-628-0322"
    },
    "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": []
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.