CHACON DENTAL GROUP (NPI# 1982006763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982006763 |
Entity Type | Organization |
Organization Name | CHACON DENTAL GROUP |
Other Organization Name | AURORA ORTHODONTICS AND PERIODONTICS |
Practice Address |
3535 E New York St Aurora IL 60504-4465 |
Practice Telephone | 6303381652 |
Practice Fax Number | 6306891358 |
Mailing Telephone | 6303381652 |
Mailing Fax Number | 6306891358 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |
Authorized Official Name | JOSE CHACON (ORTHODONTIST) |
Authorized Official Telephone | 6303381658 |
Authorized Official Credential | DDS.MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0300X |
Dentist Specialization: Periodontics |
019026187 | IL | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
019026092 | IL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 065880272 | 05 | |
IL | 200384161 | 05 |
Other Name | Type Code |
---|---|
Aurora Orthodontics and Periodontics | Doing Business As Name - Organization |
Street Address |
3535 E NEW YORK ST |
City | AURORA |
State | IL |
Zip Code | 60504-4465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114221751 | Medshop Pharmacy LLC | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2010-12-22 |
1114438504 | Telescript Pharmacy Inc. | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2017-10-12 |
1275990541 | A Touch of Ginger, LLC | Acupuncturist | 3535 E New York St, Suite 120, Aurora, IL 60504-4465 | 2016-01-18 |
1619332160 | Ginger Michels | Acupuncturist | 3535 E New York St, Ste 120, Aurora, IL 60504-4465 | 2015-12-29 |
1194197376 | Natural Pain Back Institute, LLC | Chiropractor | 3535 E New York St, Suite 216, Aurora, IL 60504-4465 | 2015-10-27 |
1154715407 | Dr. H O Brown PC | Internal Medicine | 3535 E New York St, Suite 216, Aurora, IL 60504-4465 | 2015-03-25 |
1023450889 | A&s Medical Group Limited | Internal Medicine | 3535 E New York St, Suite 117, Aurora, IL 60504-4465 | 2013-07-22 |
1578837514 | Laplant Foot & Ankle Clinic Ltd | Podiatrist | 3535 E New York St, Aurora, IL 60504-4465 | 2012-03-07 |
1922304229 | Dr. H. O. Brown, Professional Corporation | Chiropractor | 3535 E New York St, Suite 216, Aurora, IL 60504-4465 | 2011-02-03 |
1881904811 | Fox Valley Urgent Care, Inc. | Clinic/Center | 3535 E New York St, Suite 115, Aurora, IL 60504-4427 | 2010-10-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
Find all providers in zip 60504 |
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 |
---|---|---|---|---|
1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
1356850002 | Kathleen Elverman | Dentist | 13065 East 17th Avenue, Mail Stop F846, Aurora, CO 80045 | 2017-09-26 |
1073042370 | Theresa Shaver Orthodontics | Dentist | 5001 S Parker Rd Ste 201, Aurora, CO 80015-1183 | 2017-06-08 |
1700255676 | Colorado Orthodontics | Dentist | 2993 S Peoria St Ste 260, Aurora, CO 80014-5710 | 2015-09-21 |
1932447026 | Winsmile Orthodontics & Cosmetic Dentistry | Dentist | 633 S Route 59, Aurora, IL 60504-8169 | 2013-01-23 |
1972866077 | Kristen Lowe | Dentist | 13123 E 16th Ave # 240, Aurora, CO 80045-7106 | 2012-06-22 |
1851626691 | Gary Lippincott | Dentist | 70 S Constitution Dr, 102, Aurora, IL 60506-7341 | 2009-10-13 |
1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
1396940003 | Daniel John Rejman | Dentist | 15159 E Colfax Ave Unit B, Aurora, CO 80011-5707 | 2007-06-21 |
1194845602 | Roger B Elton | Dentist | 5657 S Himalaya St Ste 110, Aurora, CO 80015-5308 | 2007-03-29 |
Find all providers in AURORA |
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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.