Compass Dental of Rogers Park LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COMPASS DENTAL OF ROGERS PARK LLC

Practice address

2727 W Touhy Ave
Chicago, IL 60645-3007

Phone

(773) 262-4544

NPI assigned

Jan 9, 2017

Last updated

Jan 9, 2017By 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. Brandon R Prusa

Title

Owner

Phone

(773) 525-2011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1033655584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453007",
            "telephone_number": "773-262-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453007",
            "telephone_number": "773-262-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS DENTAL OF ROGERS PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "PRUSA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-525-2011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.