Matteson Orthodontics Mdpc

Matteson Orthodontics Mdpc is a healthcare organization registered as Dental Clinic/Center in Matteson, IL, holding Type 2 (organization) NPI 1295058998 since 2010. The authorized official on file is Keyur Shah, Ceo.

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NPI	1295058998
Entity type	Organization (Type 2)
Legal business name	Matteson Orthodontics Mdpc
Practice address	4440 LINCOLN HWY STE 300, Matteson, IL, 60443
Phone	7084816086
Fax	7084812525
Enumeration date	2010-03-09
Last updated in NPPES	2010-03-09

Authorized official

Name	Keyur Shah
Title	Ceo
Phone	7084816086

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	021002232	IL

Other identifiers

Identifier	Type	State	Issuer
021002232	Other	IL	ORTHO LICENSE #

Copy-ready billing details

Provider: Matteson Orthodontics Mdpc
NPI: 1295058998
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 4440 LINCOLN HWY STE 300, Matteson, IL, 60443

Verify this record

Cross-check NPI 1295058998 against the authoritative CMS record: view Matteson Orthodontics Mdpc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Matteson Orthodontics Mdpc located?

The practice location on file with NPPES is in Matteson, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-09.