PREMIER ORTHODONTICS
NPI 1194454454
Dentist - Orthodontics and Dentofacial Orthopedics in Ottawa, IL

NPI Status: Active since June 09, 2022

Contact Information

1704 POLARIS CIR
OTTAWA, IL
ZIP 61350
Phone: (815) 434-4222

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  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics
  • Accepts Insurance

About PREMIER ORTHODONTICS

This page provides the complete NPI Profile along with additional information for Premier Orthodontics, a provider established in Ottawa, Illinois operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1194454454 assigned on June 2022. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Premier Orthodontics. The authorized official of this NPI record is Casey Lonabocker (Vp Operations & Strategy)

NPI
1194454454
Provider Legal Name
MYORTHOS ILLINOIS ORTHODONTICS PC
Other Organization Name
PREMIER ORTHODONTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1704 POLARIS CIR OTTAWA, IL 61350
Location Phone
(815) 434-4222
Mailing Address
131 DARTMOUTH ST FL 3 BOSTON, MA 02116
Mailing Phone
(617) 535-3305
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-09-2022
Last Update Date
11-20-2024
Code Navigator

A dentist like Premier Orthodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

  • 2050 Marquette Rd Ste 200
    Peru, IL 61354
    (815) 224-2355

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CASEY LONABOCKER

Authorized Official Title
VP OPERATIONS & STRATEGY
Authorized Official Phone
(617) 535-3364

Reviews for PREMIER ORTHODONTICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194454454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184858410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 5 + 8 + 4 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1194454454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144685702JOHN M CONNESS DDS
Organization
Dentist (General Practice)1704 POLARIS CIR SUITE 1
OTTAWA, IL 61350
(815) 434-1022
1235592049OTTAWA CHILDREN'S DENTISTRY, LLC
Organization
Clinic/Center (Dental)1704 POLARIS CIR
OTTAWA, IL 61350
(815) 434-6447
1598839946RICHARD A EWALD AND WILLIAM L WROBEL DDS LTD
Organization
Clinic/Center (Dental)1704 POLARIS CIR
OTTAWA, IL 61350
(815) 434-6447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194454454, enumerated in the NPI registry as an "organization" on June 09, 2022

The provider is located at 1704 Polaris Cir Ottawa, Il 61350 and the phone number is (815) 434-4222

This medical organization specializes in Dentist with taxonomy code 1223X0400X with a focus in Orthodontics and Dentofacial Orthopedics

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 09, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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