DR. MARITA K JANZEN (NPI# 1255414264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255414264 |
| Entity Type | Individual |
| Full Name | DR. MARITA K JANZEN |
| Credential | DDS MS |
| Practice Address |
1220 Meadow Rd Suite 300 Northbrook IL 60062-9998 |
| Practice Telephone | 8472720600 |
| Practice Fax Number | 8472721094 |
| Mailing Telephone | 8472720600 |
| Mailing Fax Number | 8472721094 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
IL | Dental Providers |
| Street Address |
1220 MEADOW RD SUITE 300 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588639132 | Thomas Edward Downey | Dentist | 1220 Meadow Rd, 204, Northbrook, IL 60062-3698 | 2006-02-17 |
| 1487803979 | Lisette Lumsden | Dentist | 1220 Meadow Rd, Suite 204, Northbrook, IL 60062-3698 | 2008-09-09 |
| 1598946881 | Mark J Humenik, Dds, PC | Clinic/Center | 1220 Meadow Rd, Suite 306, Northbrook, IL 60062-3698 | 2007-11-15 |
| 1215137609 | Darryl Arlen Skale | Dentist | 1220 Meadow Rd, Suite 202, Northbrook, IL 60062-3698 | 2007-07-23 |
| 1457562217 | Kimberly Ann Garwacki | Dentist | 1220 Meadow Rd, Suite #206, Northbrook, IL 60062-3698 | 2007-05-24 |
| 1619093952 | Mark Joseph Humenik | Dentist | 1220 Meadow Rd, Suite 306, Northbrook, IL 60062-3698 | 2007-03-21 |
| 1952455107 | John M Formeller | Dentist | 1220 Meadow Rd, Suite 204, Northbrook, IL 60062-3698 | 2007-01-23 |
| 1336292184 | American Family Dental Org. | Dentist | 1220 Meadow Rd, Suite 204, Northbrook, IL 60062 | 2007-01-18 |
| 1396893053 | William C Holohan | Dentist | 1220 Meadow Rd, Suite # 206, Northbrook, IL 60062-3698 | 2007-01-08 |
| 1093863656 | Colleen M Holohan | Dentist | 1220 Meadow Rd, Suite #206, Northbrook, IL 60062-3698 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1225342769 | Robert Allen Uhland | Dentist | 1340 Shermer Rd, Suite 200, Northbrook, IL 60062-4598 | 2010-07-27 |
| 1811985179 | Donn D Chung | Dentist | 1275 Shermer Rd, Northbrook, IL 60062-4558 | 2005-10-11 |
| 1104441005 | Risus Orthodontics | Dentist | 1340 Shermer Rd, Northbrook, IL 60062-4598 | 2020-06-16 |
| 1356805782 | Robert Lawrence Kaspers | Dentist | 1873 Shermer Rd, Northbrook, IL 60062-5300 | 2019-01-30 |
| 1619357258 | Mary Anne T. Uhland | Dentist | 1340 Shermer Rd, Suite 200, Northbrook, IL 60062 | 2015-06-08 |
| 1881087773 | Straight Smiles, P.C. | Dentist | 1340 Shermer Rd, Suite 200, Northbrook, IL 60062-4598 | 2015-03-16 |
| 1730483603 | Stephen J. Lippitz, Dds, Ltd | Dentist | 1500 Shermer Rd, Northbrook, IL 60062-5340 | 2011-01-06 |
| 1821241290 | Otragen Orthodontics PC | Dentist | 1500 Shermer Rd, Suite #100, Northbrook, IL 60062-5340 | 2008-10-29 |
| 1740306174 | Janzen Janzen & Chwa Orthodontics Ltd | Dentist | 1220 Meadow Road, Suite 300, Northbrook, IL 60062-9998 | 2007-03-21 |
| 1215010582 | Kaspers Orthodontics | Dentist | 1873 Shermer Rd, Northbrook, IL 60062 | 2006-10-23 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.