ORTHODONTIC EXPERTS (NPI# 1295192078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295192078 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC EXPERTS |
| Practice Address |
5051 E State St Rockford IL 61108-2310 |
| Practice Telephone | 7738017171 |
| Mailing Telephone | 7738017171 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MONIKA BZDAL (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 7738017171 |
| Is Organization Subpart | Y |
| Parent Organization Name | 1154674471 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021002488 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657582 | Orthodontic Experts | Dentist | 1654 W North Ave, Chicago, IL 60622-2255 | 2018-01-24 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1295240836 | Orthodontic Experts | Dentist | 272 S Randall Rd, Algonquin, IL 60102-9775 | 2017-12-05 |
| 1568977106 | Orthodontic Experts | Dentist | 2335 Sycamore Rd, Dekalb, IL 60115-2007 | 2017-12-05 |
| 1740657774 | Orthodontic Experts | Dentist | 1719 W 18th St, Chicago, IL 60608-4833 | 2015-08-25 |
| 1013305903 | Orthodontic Experts | Dentist | 4709 N Harlem Ave, Harwood Heights, IL 60706-4606 | 2014-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Orthodontic Experts of Colorado, PLLC | 1250 W. Northwest Hwy, Unit 104, Mount Prospect, IL 60056 |
| Street Address |
5051 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760944987 | Kyle Aten | Dentist | 5051 E State St, Rockford, IL 61108-2310 | 2019-04-05 |
| 1609326743 | Lina Alsibaie | Dentist | 5051 E State St, Rockford, IL 61108-2310 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215099114 | Mp Montaleone Dds Ltd | Dentist | 4312 E State St, Rockford, IL 61108 | 2006-12-15 |
| 1104915099 | Thomas Patrick Williams II | Dentist | 6840 Northway Dr Ne Ste C, Rockford, MI 49341-7569 | 2006-10-11 |
| 1841381761 | Dean J Murphy | Dentist | 2835 Mcfarland Rd, Rockford, IL 61107-6819 | 2006-09-27 |
| 1700982378 | Timothy Allen Theisen | Dentist | 6050 Brynwood Dr, Suite 201, Rockford, IL 61114-6579 | 2006-09-15 |
| 1891742896 | Derek Sf Cheng | Dentist | 425 Roxbury Rd, Rockford, IL 61107 | 2006-05-27 |
| 1508845918 | Mark P. Brieden D.d.s., M.s., P.C. | Dentist | 158 Marcell Dr Ne, Rockford, MI 49341-1390 | 2006-01-13 |
| 1639152358 | Dennis Joseph Flanagan | Dentist | 1075 Featherstone Rd, Rockford, IL 61107-5906 | 2005-11-28 |
| 1861057119 | Alexis Leigh Gallagher | Dentist | 6840 Northway Dr Ne, Rockford, MI 49341-7568 | 2019-05-02 |
| 1609326743 | Lina Alsibaie | Dentist | 5051 E State St, Rockford, IL 61108-2310 | 2016-10-13 |
| 1851765945 | All Kids Dental Center, LLC. | Dentist | 555 N Court St, 100, Rockford, IL 61103-6862 | 2015-11-30 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.