DR. SCOTT A. SODERQUIST (NPI# 1477883270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477883270 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A. SODERQUIST |
| Credential | D.D.S. |
| Practice Address |
1118 N Larkin Ave Joliet IL 60435-3456 |
| Practice Telephone | 8157254070 |
| Practice Fax Number | 8157254054 |
| Mailing Telephone | 8157254070 |
| Mailing Fax Number | 8157254054 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021002112 | IL | Dental Providers |
| Street Address |
1118 N LARKIN AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225103955 | Thomas J. Maurice | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2006-11-21 |
| 1861933137 | Russell P Pesavento | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2017-03-20 |
| 1821311689 | Nash Upper Cervical Chiropractic | Chiropractor | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2010-03-09 |
| 1922338730 | Michael V. Casey | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1740510551 | Henry J. Bratcher | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1942450275 | Ginger Ann Christian | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-09-23 |
| 1891945416 | William F. Bevan IIi | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-09-19 |
| 1366605370 | David Cortopassi | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-07-09 |
| 1609043926 | Brett N Nash | Chiropractor | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-05-15 |
| 1033399092 | Alan Carl Eckman | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2007-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1639649288 | R A Lombardi Dds PC | Dentist | 3011 Theodore St, Joliet, IL 60435-5288 | 2018-11-27 |
| 1518229053 | Alexander E. Ritchey Dmd, Ms Ltd | Dentist | 1713 Campbell St, Joliet, IL 60435-5880 | 2012-06-11 |
| 1922338730 | Michael V. Casey | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1740510551 | Henry J. Bratcher | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1366605370 | David Cortopassi | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-07-09 |
| 1780803619 | Clarence J. Red, D.d.s., Ltd. | Dentist | 227 N Hammes Ave, Joliet, IL 60435-8115 | 2007-04-25 |
| 1003951153 | Associated Orthodontists, Ltd. | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2007-02-20 |
| 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 |
| 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 |
| 1407314610 | Orthodontic Experts Ltd | Dentist | 3339 W Belmont Ave, Chicago, IL 60618-5518 | 2019-03-06 |
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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.