Organization Active NPI

Sauk Valley Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dixon, IL
National Provider Identifier
1962832915
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019027845 Issued in IL
Legal business name
SAUK VALLEY ORTHODONTICS, PC
Practice address
122 E Everett St
Dixon, IL 61021-2140
Phone
(815) 564-2294
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Neal Jones
Title
Orthodontist, Owner
Phone
(815) 564-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019027845 IL Primary

Addresses

Primary practice location

122 E Everett St
Dixon, IL 61021-2140

Mailing address

122 E Everett St
Dixon, IL 61021-2140
Phone (815) 564-2294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1962832915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-564-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-564-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK VALLEY ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "ORTHODONTIST, OWNER",
        "authorized_official_telephone_number": "815-564-2294",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019027845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.