OrganizationActive
Myorthos Illinois Orthodontics PC
NPI 1194454454 · Orthodontics and Dentofacial Orthopedics Dentistry · Ottawa, IL
Provider details
- NPI number
- 1194454454
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Myorthos Illinois Orthodontics PC
- Organization subpart
- Yes
- Authorized official
- Casey Lonabocker, Vp Operations & Strategy(617) 535-3364
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1704 Polaris Cir
Ottawa, IL 61350-1773
Phone: (815) 434-4222
Street-level locationGet directions
Mailing address
131 Dartmouth St Fl 3
Boston, MA 02116-5297
Other names (DBA / former)
- Doing business as
- Premier Orthodontics
- Doing business as
- Premier Orthodontics
Additional practice locations (1)
- 2050 Marquette Rd Ste 200Peru, IL 61354-4000Phone: (815) 224-2355
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.