DR. RYAN ELSTON BOOTH DDS
NPI 1578036638
Dentist - Orthodontics and Dentofacial Orthopedics in Homer Glen, IL

Active since January 10, 2019
12635 W 143RD ST, HOMER GLEN, IL 60491(708) 301-0005 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Elston Booth Dds NPPES

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

DR. RYAN ELSTON BOOTH DDS (NPI 1578036638) is an individual orthodontics and dentofacial orthopedics provider in Homer Glen, Illinois, licensed in Illinois (021002799) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1578036638
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RYAN ELSTON BOOTHCredential: DDS
Location Address12635 W 143RD STHomer Glen, IL 60491-8381
Mailing Address12635 W 143rd StHomer Glen, IL 60491-8381 · (708) 301-0005
Sole ProprietorYes
Enumeration DateJanuary 10, 2019
NPI 1578036638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 021002799
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.
12635 W 143RD ST, Homer Glen, IL 60491

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 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Dentist
12635 W 143RD ST
HOMER GLEN, IL 60491

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 Ryan Booth's NPI number?

The NPI number for Ryan Booth is 1578036638. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Ryan Booth located?

Ryan Booth practices at 12635 W 143rd St, Homer Glen, IL 60491. The listed phone number is (708) 301-0005.

What is Ryan Booth'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 Ryan Booth was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.