Mpowered Smiles Orthodontics, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MPOWERED SMILES ORTHODONTICS, P.C.

Doing business as

Westfallen Orthodontics

Practice address

137 Vine Ave
Park Ridge, IL 60068

Phone

(847) 823-5010

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Milena BulicNPI 1184031130

Title

President

Phone

(816) 419-0874

Specialties & licenses 1

Addresses

Other names 1

• Westfallen Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milena Bulic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Park Ridge, IL
  • NPI 1184031130
  NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1841895489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S WESTERN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684411"
        },
        {
            "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": "60068",
            "telephone_number": "847-823-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWERED SMILES ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "BULIC",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-419-0874"
    },
    "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": [
        {
            "organization_name": "Westfallen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Mostafa, MD
• Sarah Motta, PA-C
• Motus Physical Therapy PLLC
• Margaret Moulton, MSW, LCSW
• John J Moy, MD
• Monica E Muciaccia Chovanec
• Krishna R Mudimbi, M.D
• Amanda Mulcrone, M.D.
• Donna Mullahy, PA-C
• Victor Munoz, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Park Ridge, IL
• Providers in Park Ridge, 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 2, 2020; 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.