Carpentersville Dental Care, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARPENTERSVILLE DENTAL CARE, LTD.

Practice address

150 S Kennedy Dr
Suite 23 a
Carpentersville, IL 60110-2091

Phone

(847) 551-1199

Fax

(847) 783-5282

NPI assigned

Oct 19, 2005

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Songchin Yu, D.D.SNPI 1851533178

Title

President

Phone

(847) 551-1199

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Songchin Yu, D.D.S.

  • Dentist
  • Carpentersville, IL
  • NPI 1851533178
  NPD (past) Authorized official
• Chris Lee

  • General Practice Dentistry
  • Carpentersville, IL
  • NPI 1518397686
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1023007234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S KENNEDY DR",
            "address_2": "SUITE 23 A",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102091",
            "telephone_number": "847-551-1199",
            "fax_number": "847-783-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S KENNEDY DR",
            "address_2": "SUITE 23 A",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102091",
            "telephone_number": "847-551-1199",
            "fax_number": "847-783-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTERSVILLE DENTAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SONGCHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-551-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaushik Bhatia, PHARM. D
• BHC Streamwood Hospital Inc
• BHC Streamwood Hospital Inc (Streamwood Behavioral Healthcare System)
• BHC Streamwood Hospital Inc (Streamwood Behavioral Healthcare System)
• Kaylen Marjorie Bye Truax, MOT, OTR/L
• Linda M Casas
• Central Illinois Quality Care and Psychodiagnostic
• Sharon Shajan Chacko
• Zainab Chemisto, NP
• Children's Home and Aid

• General Practice Dentistry in Carpentersville, IL
• Providers in Carpentersville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.