NPIMap

Organization Active NPI

Town Line Dental Care

  • General Practice Dentistry
  • Mundelein, IL
National Provider Identifier
1003942137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TOWN LINE DENTAL CARE
Practice address
362 Townline Rd
Mundelein, IL 60060-4225
Phone
(847) 566-8585
Fax
(847) 566-6819
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Kats, D. D. S.
Title
Owner
Phone
(847) 566-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

362 Townline Rd
Mundelein, IL 60060-4225

Mailing address

362 Townline Rd
Mundelein, IL 60060-4225
Phone (847) 566-8585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003942137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604225",
            "telephone_number": "847-566-8585",
            "fax_number": "847-566-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604225",
            "telephone_number": "847-566-8585",
            "fax_number": "847-566-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN LINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-566-8585",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.