CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1124629514
Dentist - Pediatric Dentistry in Chicago, IL
NPI Status: Active since November 03, 2020
Contact Information
1136 S DELANO CT W STE B202
CHICAGO, IL
ZIP 60605
Phone: (312) 766-0995
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 14D0702408
- CLIA Cert. Type: Prison
- CLIA Exp. Date: 03-23-2028
About CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS
This page provides the complete NPI Profile along with additional information for Chicago Pediatric Dentistry And Orthodontics, a provider established in Chicago, Illinois operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1124629514 assigned on November 2020. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Chicago Pediatric Dentistry And Orthodontics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Justin Welke Dds (Owner)
- NPI
- 1124629514
- Provider Name
- CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS
- Entity Type
- Organization
- Location Address
- 1136 S DELANO CT W STE B202 CHICAGO, IL 60605
- Location Phone
- (312) 766-0995
- Mailing Address
- 1136 S DELANO CT W STE B202 CHICAGO, IL 60605
- Mailing Phone
- (312) 766-0995
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2020
- Last Update Date
- 11-03-2020
- Code Navigator
A dentist like Chicago Pediatric Dentistry And 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
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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0702408
- Facility Type
- Prison
- Certificate Effective Date
- March 24, 2026
- Certificate Expiration Date
- March 23, 2028
- Laboratory Director
- BONNIE M. NOWAKOWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chicago Pediatric Dentistry And Orthodontics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124629514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124629514, enumerated as an "organization" on November 03, 2020.
The provider is located at 1136 S DELANO CT W STE B202 CHICAGO, IL 60605 and the phone number is (312) 766-0995.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
