Othman Orthodontics Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0210022027 Issued in IL

Legal business name

OTHMAN ORTHODONTICS INC

Practice address

2340 S Highland Ave
Ste 310
Lombard, IL 60148-5371

Phone

(630) 424-9070

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Hasan Fawwaz Othman, DDS, PHDNPI 1750584546

Title

President

Phone

(630) 424-9070

Specialties & licenses 1

Addresses

Other names 1

• Othman Orthodontics Doing business as

Locations

Practitioners 1

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

• Hasan Fawwaz Othman, DDS, MS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lombard, IL
  • NPI 1750584546
  NPD (past) Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1992247084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "STE 310",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-424-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "STE 310",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-424-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTHMAN ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "HASAN",
        "authorized_official_middle_name": "FAWWAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-424-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "0210022027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Othman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Orsini, D.C.
• Brenda Ortega, LSW
• Desiree Ortiz
• Mirella Ortiz
• Ayla May Osborn, DC
• Hasan Fawwaz Othman, DDS, MS, PHD
• Daniel Owens, M.D.
• Jordyne Owensby
• Fioralba Oxhaku
• Olivia Julia Ozga

• Orthodontics and Dentofacial Orthopedics Dentistry in Lombard, IL
• Providers in Lombard, 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 Nov 7, 2016; 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.