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

ID ORTHODOCTICS LLC
NPI 1629541636
Dentist in Grayslake, IL

Q: What is Id Orthodoctics LLC's NPI number?

The NPI number for Id Orthodoctics LLC is 1629541636. It was assigned to this organization in the NPPES registry on January 3, 2019.

Q: What is Id Orthodoctics LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 03, 2019

1275 E BELVIDERE RD STE 100, GRAYSLAKE, IL 60030(847) 548-4200(847) 548-4527 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Jan 3, 2019 (2 updates tracked since 2019).

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About Id Orthodoctics Llc NPPES

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

ID ORTHODOCTICS LLC (NPI 1629541636) is a healthcare organization registered as a dentist in Grayslake, Illinois and active in the NPI registry since January 2019. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1629541636

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameID ORTHODOCTICS LLC

Location Address1275 E BELVIDERE RD STE 100Grayslake, IL 60030-2080

Mailing Address1275 E Belvidere Rd Ste 100Grayslake, IL 60030-2080 · (847) 548-4200

Phone(847) 548-4200

Fax(847) 548-4527

Organization SubpartNo

Authorized OfficialVictoria JohnsonCro · (941) 444-0558

Enumeration DateJanuary 3, 2019

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1629541636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1275 E BELVIDERE RD STE 100, Grayslake, IL 60030

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

IDENTITY ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

1275 E BELVIDERE RD STE 100
GRAYSLAKE, IL 60030

Lake County (847) 548-4200

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 Id Orthodoctics LLC's NPI number?

The NPI number for Id Orthodoctics LLC is 1629541636. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is Id Orthodoctics LLC located?

Id Orthodoctics LLC is located at 1275 E Belvidere Rd Ste 100, Grayslake, IL 60030. The listed phone number is (847) 548-4200.

What is Id Orthodoctics LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Id Orthodoctics LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.