NPIMap

Organization Active NPI

Toothtown PLLC

  • Dental Clinic/Center
  • Orland Park, IL
National Provider Identifier
1013654037
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOOTHTOWN PLLC
Practice address
9017 W 151St St
Orland Park, IL 60462-3201
Phone
(708) 226-6700
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Yusuf FahmyNPI 1437501723
Title
Manager
Phone
(630) 352-1547

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9017 W 151St St
Orland Park, IL 60462-3201

Mailing address

9017 W 151St St
Orland Park, IL 60462-3201

National Provider Directory

National Provider Directory
Tax ID family
Toothtown Dental Addison2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1013654037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623201",
            "telephone_number": "708-226-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-352-1547"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.