ID ORTHODOCTICS LLC (NPI# 1629541636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629541636 |
| Entity Type | Organization |
| Organization Name | ID ORTHODOCTICS LLC |
| Practice Address |
1275 E Belvidere Rd Ste 100 Grayslake IL 60030-2080 |
| Practice Telephone | 8475484200 |
| Practice Fax Number | 8475484527 |
| Mailing Telephone | 8475484200 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | MIKE COLE (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Telephone | 9419553150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1275 E BELVIDERE RD STE 100 |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-2080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375144 | Identity Orthodontics | Dentist | 1275 E Belvidere Rd Ste 100, Grayslake, IL 60030-2080 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666136 | Matthew Christie | Dentist | 121 Crisfield Dr, Grayslake, IL 60030-7931 | 2016-09-06 |
| 1144618000 | Amir Seifi, Dds, PC | Dentist | 859 E Belvidere Rd, Grayslake, IL 60030-2581 | 2014-12-30 |
| 1841603354 | Elizabeth M Schaik | Dentist | 100 N. Atkinson Suite 104, Grayslake, IL 60030 | 2014-06-03 |
| 1831341510 | Eric Paul Smyth | Dentist | 210 Barron Blvd, Grayslake, IL 60030-1665 | 2008-10-14 |
| 1619159274 | Rupal Vinod Patel | Dentist | 160 Commerce Dr Ste 100, Grayslake, IL 60030-1603 | 2007-12-05 |
| 1912111378 | Elizabeth M Schaik PC | Dentist | 100 N Atkinson, Suite 104, Grayslake, IL 60030 | 2007-05-09 |
| 1306968326 | Susan Jiyoung Oh | Dentist | 1227 N Illinois 83 #e, 1227 N State 83, Grayslake, IL 60030 | 2007-04-03 |
| 1770562472 | Elaine Ruth Winegard | Dentist | 34390 N Tangueray Dr, Grayslake, IL 60030-4017 | 2006-01-11 |
| 1497300453 | Matan Moshe Farhi | Dentist | 719 Barron Blvd, Grayslake, IL 60030-3314 | 2019-08-07 |
| 1790338853 | Cassidy Veronica Phagan | Dentist | 719 Barron Blvd, Grayslake, IL 60030-3314 | 2019-07-18 |
| Find all providers in GRAYSLAKE | ||||
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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.