JEFFREY S. MASTROIANNI, D.M.D., M.S. (NPI# 1285094862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285094862 |
| Entity Type | Organization |
| Organization Name | JEFFREY S. MASTROIANNI, D.M.D., M.S. |
| Other Organization Name | MASTROIANNI ORTHODONTICS |
| Practice Address |
2220 S State Route 157 Suite 125 Glen Carbon IL 62034-1724 |
| Practice Telephone | 6182880600 |
| Practice Fax Number | 6182888004 |
| Mailing Telephone | 6182880600 |
| Mailing Fax Number | 6182888004 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | DR. JEFFREY MASTROIANNI (CEO) |
| Authorized Official Telephone | 6182880600 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
21002018 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | SPECIALTY | 21002018. | 01 |
| Other Name | Type Code |
|---|---|
| Mastroianni Orthodontics | Doing Business As Name - Organization |
| Street Address |
2220 S STATE ROUTE 157 SUITE 125 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166115 | Tracy Karvinen | Counselor | 2220 S State Route 157, Suite 200d, Glen Carbon, IL 62034-1724 | 2011-04-18 |
| 1871984534 | Karvinen Counseling Services, PC | Counselor | 2220 S State Route 157, Suite 200d, Glen Carbon, IL 62034-1724 | 2015-02-16 |
| 1942546924 | Bethany Lynn Horstmann | Counselor | 2220 S State Route 157, Suite 200d, Glen Carbon, IL 62034-1724 | 2012-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| 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 |
|---|---|---|---|---|
| 1376607812 | Renata K Regalado | Dentist | 4218 South State Route 159, Suite 1, Glen Carbon, IL 62034 | 2006-12-20 |
| 1205917499 | Joachim O Bauer | Dentist | 23 Glen Ed Professional Park, Glen Carbon, IL 62034 | 2006-10-17 |
| 1326147489 | Jeffrey Scott Mastroianni | Dentist | 2220 S. State Route 157, Suite 125, Glen Carbon, IL 62034-1728 | 2006-09-22 |
| 1841526290 | Bauerhite Orthodontic Specialists, PC | Dentist | 23 Glen Ed Professional Park, Glen Carbon, IL 62034-3333 | 2009-10-20 |
| 1699000349 | Elizabeth Bauer Hite | Dentist | 23 Glen Ed Professional Park, Glen Carbon, IL 62034-3333 | 2009-10-14 |
| 1528187549 | Jeffrey S. Mastroianni D.m.d., M.s., P.C. | Dentist | 2220 S. State Route 157, Suite 125, Glen Carbon, IL 62034-1728 | 2007-03-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
Please comment or provide details below to improve the information on JEFFREY S. MASTROIANNI, D.M.D., M.S..
| 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.