BANKHEAD ALTON ORTHODONTICS PC (NPI# 1740812494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740812494 |
| Entity Type | Organization |
| Organization Name | BANKHEAD ALTON ORTHODONTICS PC |
| Other Organization Name | HEINTZ AND BANKHEAD ORTHODONTICS |
| Practice Address |
2828 Homer Adams Pkwy Alton IL 62002-4855 |
| Mailing Address |
3006 Highway K O Fallon MO 63368-8675 |
| Practice Telephone | 6184657423 |
| Mailing Telephone | 6367347876 |
| Mailing Fax Number | 6368982001 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | MRS. ANDREA ROSE REITMEYER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6367347876 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANKHEAD ORTHODONTICS DDS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Heintz and Bankhead Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276038 | Bankhead Alton Orthodontics PC | Dentist | 910 W Main St, Carlinville, IL 62626-1200 | 2020-02-11 |
| Street Address |
2828 HOMER ADAMS PKWY |
| City | ALTON |
| State | IL |
| Zip Code | 62002-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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 |
|---|---|---|---|---|
| 1679077978 | Charles Byron Thornton | Dentist | 2800 College Ave Bldg 286, Alton, IL 62002-4742 | 2018-03-21 |
| 1164792719 | Dr. Kimberly D. Haug, PC | Dentist | 2411 Morning Star Dr, Alton, IL 62002-5657 | 2012-01-12 |
| 1366525404 | William Charles Heintz | Dentist | 2828 Homer M Adams Pkwy, Alton, IL 62002-4855 | 2006-10-23 |
| 1891884920 | C. David Brickman, Dds, Ms, PC | Dentist | 1816 Main St, Alton, IL 62002-4724 | 2006-10-12 |
| 1962418079 | Kimberly D. Haug | Dentist | 2411 Morningstar Dr, Alton, IL 62002 | 2006-07-31 |
| 1356638126 | Achint Utreja | Dentist | 2800 College Ave, Alton, IL 62002 | 2011-06-30 |
| 1487859674 | Alton Area Orthodontics | Dentist | 1816 Main St, Alton, IL 62002-4724 | 2007-06-18 |
| 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 |
| 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 |
| 1407314610 | Orthodontic Experts Ltd | Dentist | 3339 W Belmont Ave, Chicago, IL 60618-5518 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
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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.