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

MYOFUNCTIONAL ORTHODONTIST LLC
NPI 1558229054
Dentist - Orthodontics and Dentofacial Orthopedics in Sun Prairie, WI

Active since January 13, 2026
1266 W MAIN ST STE 2, SUN PRAIRIE, WI 53590(608) 471-8740 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2026, Jan 13, 2026 (2 updates tracked since 2026).

About Myofunctional Orthodontist Llc NPPES

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

MYOFUNCTIONAL ORTHODONTIST LLC (NPI 1558229054), doing business as Pediatric Orthodontics Of Sun Prairie, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Sun Prairie, Wisconsin and active in the NPI registry since January 2026. The organization lists Mark Kurchak, Owner, as its authorized official.

NPPES Registry Identity

NPI1558229054
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMYOFUNCTIONAL ORTHODONTIST LLC
Location Address1266 W MAIN ST STE 2Sun Prairie, WI 53590-1922
Mailing Address1266 W Main St Ste 2Sun Prairie, WI 53590-1922 · (608) 471-8740
Organization SubpartNo
Authorized OfficialMark KurchakOwner · (520) 491-0799
Enumeration DateJanuary 13, 2026
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1558229054 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.
1266 W MAIN ST STE 2, Sun Prairie, WI 53590

Other Names 1

Doing Business AsPediatric Orthodontics Of Sun Prairie

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

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Health Service)
1266 W MAIN ST STE 2
SUN PRAIRIE, WI 53590
Chiropractor
1266 W MAIN ST STE 2
SUN PRAIRIE, WI 53590

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 Myofunctional Orthodontist LLC's NPI number?

The NPI number for Myofunctional Orthodontist LLC is 1558229054. It was assigned to this organization in the NPPES registry on January 13, 2026. The provider is doing business as Pediatric Orthodontics of Sun Prairie.

Where is Myofunctional Orthodontist LLC located?

Myofunctional Orthodontist LLC is located at 1266 W Main St Ste 2, Sun Prairie, WI 53590. The listed phone number is (608) 471-8740.

What is Myofunctional Orthodontist LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Myofunctional Orthodontist LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.