NPIMap

Organization Active NPI

Dr. Michele S. Horton, D.D.S.,P.C.

  • Dentist
  • St Charles, IL
National Provider Identifier
1912153156
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019A020460 Issued in IL
Legal business name
DR. MICHELE S. HORTON, D.D.S.,P.C.
Practice address
2210 Dean St
Ste H
St Charles, IL 60175-1066
Phone
(630) 377-1010
Fax
(630) 377-1091
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Ms. Sheila R Moriarty
Title
Businessadministrator
Phone
(630) 377-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019A020460 IL Primary

Addresses

Primary practice location

2210 Dean St
Ste H
St Charles, IL 60175-1066

Mailing address

2210 Dean St
Ste H
St Charles, IL 60175-1066
Phone (630) 377-1010

National Provider Directory

National Provider Directory

Locations

2210 Dean St
Ste H
St Charles, IL 60175
Phone (630) 377-1010

Practitioners & affiliated clinicians

Practitioners 2

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": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1912153156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "STE H",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-1010",
            "fax_number": "630-377-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "STE H",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-1010",
            "fax_number": "630-377-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHELE S. HORTON, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESSADMINISTRATOR",
        "authorized_official_telephone_number": "630-377-1010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019A020460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.