OrthodontistIndex

Shadi Mohebi

Orthodontist in Champaign, IL

Registered orthodontistLicense # listed (MA)

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Public-record details

Address
1715 Broadmoor Dr Ste a, Champaign, IL 61821
Phone
(217) 886-8217
Listed under
Individual orthodontists
NPI
1457199689
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
License number on NPI record
DL15906 (MA)
NPI first issued
Jul 20, 2024
NPI record last updated
Jul 20, 2024

NPI 1457199689 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its primary taxonomy; license DL15906 (MA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1457199689 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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