Organization Active NPI

South Barrington Dental

  • General Practice Dentistry
  • South Barrington, IL
National Provider Identifier
1023267374
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019233 Issued in IL
Legal business name
SOUTH BARRINGTON DENTAL
Practice address
2 Executive CT
South Barrington, IL 60010-9507
Phone
(847) 304-4442
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Rosella Spadoni, DDSNPI 1568734564
Title
President
Phone
(847) 304-4442

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019019233 IL Primary

Addresses

Primary practice location

2 Executive CT
South Barrington, IL 60010-9507

Mailing address

2 Executive CT
South Barrington, IL 60010-9507
Phone (847) 304-4442

National Provider Directory

National Provider Directory

Locations

2 Executive Ct
South Barrington, IL 60010
Phone (847) 304-0303

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": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1023267374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-304-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-304-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BARRINGTON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SPADONI",
        "authorized_official_first_name": "ROSELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-304-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.