NPIMap

Organization Active NPI

C. Neil Kay Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montgomery, IL
National Provider Identifier
1902882103
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021001221 Issued in IL
Legal business name
C. NEIL KAY ORTHODONTICS PC
Practice address
25 Boulder Hill Pass
Montgomery, IL 60538-1911
Phone
(630) 896-2779
Fax
(630) 896-9252
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. C. Neil Kay, BDS, MSNPI 1629297999
Title
Owner/Doctor
Phone
(630) 896-2779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 021001221 IL Primary

Addresses

Primary practice location

25 Boulder Hill Pass
Montgomery, IL 60538-1911

Mailing address

25 Boulder Hill Pass
Montgomery, IL 60538-1911
Phone (630) 896-2779

Other names 1

  • Kay & McCullum Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

25 Boulder Hill Pass
Montgomery, IL 60538
Phone (630) 896-2779

Practitioners & affiliated clinicians

Practitioners 3

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1902882103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381911",
            "telephone_number": "630-896-2779",
            "fax_number": "630-896-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381911",
            "telephone_number": "630-896-2779",
            "fax_number": "630-896-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. NEIL KAY ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "630-896-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021001221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay & McCullum Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.