NPIMap

Organization Active NPI

New Day Family Dental LLC

  • Dentist
  • Belleville, IL
National Provider Identifier
1013288703
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026486 Issued in IL
Legal business name
NEW DAY FAMILY DENTAL LLC
Practice address
5899 N Belt W
Belleville, IL 62226-4600
Phone
(618) 222-8887
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Forrest Farr, DDSNPI 1578612255
Title
Owner
Phone
(618) 222-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019026486 IL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019026532 IL

Addresses

Primary practice location

5899 N Belt W
Belleville, IL 62226-4600

Mailing address

5899 N Belt W
Belleville, IL 62226-4600
Phone (618) 222-8887

National Provider Directory

National Provider Directory

Locations

5899 N Belt W
Belleville, IL 62226
Phone (618) 222-8887

Practitioners & affiliated clinicians

Practitioners 2

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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1013288703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264600",
            "telephone_number": "618-222-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264600",
            "telephone_number": "618-222-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-222-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026486",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.