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

Active since June 09, 2022
1704 POLARIS CIR, OTTAWA, IL 61350(815) 434-4222 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Dec 15, 2023, Aug 23, 2023 and 2 more (5 updates tracked since 2022).

About Premier Orthodontics NPPES

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

PREMIER ORTHODONTICS (NPI 1194454454) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Ottawa, Illinois and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Peru and lists Casey Lonabocker, Vp Operations & Strategy, as its authorized official.

NPPES Registry Identity

NPI1194454454
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMYORTHOS ILLINOIS ORTHODONTICS PC
Location Address1704 POLARIS CIROttawa, IL 61350-1773
Mailing Address131 Dartmouth St Fl 3Boston, MA 02116-5297 · (617) 535-3305
Organization SubpartYes
Authorized OfficialCasey LonabockerVp Operations & Strategy · (617) 535-3364
Enumeration DateJune 9, 2022
Last NPPES UpdateNovember 20, 20245 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1194454454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
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.
1704 POLARIS CIR, Ottawa, IL 61350

Other Names 1

Doing Business AsPremier Orthodontics

Secondary Practice Location 1

Location 12050 Marquette Rd Ste 200Peru, IL 61354-4000 · Phone (815) 224-2355

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1704 POLARIS CIR, SUITE 1
OTTAWA, IL 61350
Clinic/Center (Dental)
1704 POLARIS CIR
OTTAWA, IL 61350
Dentist (Orthodontics and Dentofacial Orthopedics)
1704 POLARIS CIR
OTTAWA, IL 61350
Clinic/Center (Dental)
1704 POLARIS CIR
OTTAWA, IL 61350

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 Myorthos Illinois Orthodontics PC's NPI number?

The NPI number for Myorthos Illinois Orthodontics PC is 1194454454. It was assigned to this organization in the NPPES registry on June 9, 2022. The provider is doing business as Premier Orthodontics.

Where is Myorthos Illinois Orthodontics PC located?

Myorthos Illinois Orthodontics PC is located at 1704 Polaris Cir, Ottawa, IL 61350. The listed phone number is (815) 434-4222.

What is Myorthos Illinois Orthodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Myorthos Illinois Orthodontics PC accept?

Health plans from UnitedHealthcare list Myorthos Illinois Orthodontics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myorthos Illinois Orthodontics PC was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.