MATTESON ORTHODONTICS MDPC
NPI 1588958177
Dentist - Orthodontics and Dentofacial Orthopedics in Matteson, IL

Active since June 01, 2011
4440 LINCOLN HWY, SUITE 300, MATTESON, IL 60443(708) 481-6086(708) 481-2525 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matteson Orthodontics Mdpc NPPES

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

MATTESON ORTHODONTICS MDPC (NPI 1588958177) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Matteson, Illinois and active in the NPI registry since June 2011. The organization lists Keyur A Shah, President, as its authorized official.

NPPES Registry Identity

NPI1588958177
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMATTESON ORTHODONTICS MDPC
Location Address4440 LINCOLN HWY, SUITE 300Matteson, IL 60443-2349
Mailing Address4440 Lincoln Hwy, Suite 300Matteson, IL 60443-2349 · (708) 481-6086 · Fax (708) 481-2525
Fax(708) 481-2525
Organization SubpartNo
Authorized OfficialKeyur A ShahPresident · (708) 481-6086
Enumeration DateJune 1, 2011
NPI 1588958177 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 · 021002232
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.
4440 LINCOLN HWY, Matteson, IL 60443

Other Identifiers 1

Other19025814IL · Hfs Dental Program

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 9

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4440 LINCOLN HWY, SUITE 300
MATTESON, IL 60443
Community/Behavioral Health
4440 LINCOLN HWY, SUITE 100
MATTESON, IL 60443
Social Worker (Clinical)
4440 LINCOLN HWY, STE. 307
MATTESON, IL 60443
Podiatrist
4440 LINCOLN HWY, SUITE 102
MATTESON, IL 60443
Counselor (Professional)
4440 LINCOLN HWY, SUITE # 307
MATTESON, IL 60443
Podiatrist (Foot & Ankle Surgery)
4440 LINCOLN HWY, SUITE 102
MATTESON, IL 60443
Counselor (Mental Health)
4440 LINCOLN HWY
MATTESON, IL 60443
Podiatrist (Foot & Ankle Surgery)
4440 LINCOLN HWY, SUITE 102
MATTESON, IL 60443

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 Matteson Orthodontics Mdpc's NPI number?

The NPI number for Matteson Orthodontics Mdpc is 1588958177. It was assigned to this organization in the NPPES registry on June 1, 2011.

Where is Matteson Orthodontics Mdpc located?

Matteson Orthodontics Mdpc is located at 4440 Lincoln Hwy Suite 300, Matteson, IL 60443. The listed phone number is (708) 481-6086.

What is Matteson Orthodontics Mdpc'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 Matteson Orthodontics Mdpc was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.