BRINLEY ORTHODONTICS, LLC (NPI# 1619103819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619103819 |
Entity Type | Organization |
Organization Name | BRINLEY ORTHODONTICS, LLC |
Practice Address |
2023 Vadalabene Dr Maryville IL 62062-5631 |
Practice Telephone | 6182883384 |
Enumeration Date | 2009-06-03 |
Last Update Date | 2009-06-03 |
Authorized Official Name | CHRISTINE BRINLEY (OWNER/PRESIDENT) |
Authorized Official Telephone | 6182883384 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
019027848 | IL | Dental Providers |
Street Address |
2023 VADALABENE DR |
City | MARYVILLE |
State | IL |
Zip Code | 62062-5631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306825856 | Christina L Midkiff | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062-5631 | 2006-01-12 |
1346783230 | Jenny M Daniels | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2016-11-23 |
1366829608 | Sean M Miller | Physician Assistant | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2015-05-06 |
1477957827 | Kristen R Kreher | Nurse Practitioner | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2014-10-14 |
1134537632 | Deanna Moorman | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2014-07-28 |
1235578410 | Kathryn Lindsay K Cobb | Nurse Practitioner | 2023 Vadalabene Dr, Maryville, IL 62062-5630 | 2013-06-20 |
1912293002 | Maryville Imaging, LLC | Clinic/Center | 2023 Vadalabene Dr, Suite 100, Maryville, IL 62062-5630 | 2011-06-27 |
1982902342 | Dr. David B. Yablonsky, D.o., P.C. | Family Medicine | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2011-03-09 |
1306154984 | Manisha C Shah | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062 | 2010-09-17 |
1073843967 | Jennifer D Wesselman-williams | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2009-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
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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 |
---|---|---|---|---|
1831306752 | Brent Patrick Collins | Dentist | 518 W Broadway Ave, Maryville, TN 37801-4712 | 2007-05-17 |
1942325931 | J Newsom Baker, Dds, PC | Dentist | 1618 E. Lamar Alexander Pkwy, Maryville, TN 38704-6206 | 2007-03-20 |
1942213210 | Mark Joseph Owens Sr. | Dentist | 1618 E Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2006-08-15 |
1649268814 | Jeffrey Jennings Eberting | Dentist | 619 Smithview Dr, Maryville, TN 37803-6100 | 2005-10-11 |
1760896682 | Owens Orthodontic Specialists, PC | Dentist | 1618 E Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2014-06-18 |
1497001457 | J Newsom Baker | Dentist | 1618 E. Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2012-07-27 |
1649558859 | Jeffrey J. Eberting Dmd, M.s. PC | Dentist | 619 Smithview Dr, Maryville, TN 37803-6100 | 2011-07-22 |
1265668461 | Christine Brinley | Dentist | 2023 Vadalabene Dr, Maryville, IL 62062-5631 | 2009-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
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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.