South Park Ortho PLLC
NPI 1396319711 · Orthodontics and Dentofacial Orthopedics Dentistry · Park Ridge, IL
South Park Ortho PLLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Park Ridge, IL (NPI 1396319711).
Provider details
- NPI number
- 1396319711
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Stites, Insurance Coordinator-Decision One(630) 869-5857
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2021-05-19
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Frequently asked questions
- What is South Park Ortho PLLC's NPI number?
- South Park Ortho PLLC's National Provider Identifier (NPI) is 1396319711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Park Ortho PLLC?
- South Park Ortho PLLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is South Park Ortho PLLC located?
- South Park Ortho PLLC's practice location on file with NPPES is 401 W Talcott Rd, Park Ridge, IL 60068-5408.
- What is South Park Ortho PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Park Ortho PLLC is (847) 318-7711.
- Who is the authorized official for South Park Ortho PLLC?
- The authorized official listed on South Park Ortho PLLC's NPPES record is Robert Stites, Insurance Coordinator-Decision One. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Park Ortho PLLC's NPI active?
- Yes — South Park Ortho PLLC's NPI (1396319711) is active in the NPPES registry as of the last update on 2021-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.