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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC
NPI 1124629514
Dentist - Pediatric Dentistry in Chicago, IL

Active since November 03, 2020
1136 S DELANO CT W STE B202, CHICAGO, IL 60605(312) 766-0995 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chicago Pediatric Dentistry And Orthodontics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC (NPI 1124629514), doing business as Chicago Pediatric Dentistry And Orthodontics, is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since November 2020. The organization lists Justin Welke, Owner, as its authorized official.

NPPES Registry Identity

NPI1124629514
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC
Location Address1136 S DELANO CT W STE B202Chicago, IL 60605-3734
Mailing Address1136 S Delano Ct W Ste B202Chicago, IL 60605-3734 · (312) 437-0593
Phone(312) 766-0995
Organization SubpartNo
Authorized OfficialJustin WelkeOwner · (630) 886-1780
Enumeration DateNovember 3, 2020
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1124629514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
1136 S DELANO CT W STE B202, Chicago, IL 60605
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Other Names 1

Doing Business AsChicago Pediatric Dentistry And Orthodontics

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicago Pediatric Dentistry And Orthodontics PLLC's NPI number?

The NPI number for Chicago Pediatric Dentistry And Orthodontics PLLC is 1124629514. It was assigned to this organization in the NPPES registry on November 3, 2020. The provider is doing business as Chicago Pediatric Dentistry and Orthodontics.

Where is Chicago Pediatric Dentistry And Orthodontics PLLC located?

Chicago Pediatric Dentistry And Orthodontics PLLC is located at 1136 S Delano Ct W Ste B202, Chicago, IL 60605. The listed phone number is (312) 766-0995.

What is Chicago Pediatric Dentistry And Orthodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Chicago Pediatric Dentistry And Orthodontics PLLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.