Active NPI
Abc Dentistry, LTD.
- Pediatric Dentistry
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 019.021868
- Legal business name
- ABC DENTISTRY, LTD.
- Practice address
- 80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195 - Phone
- (847) 882-3360
- Fax
- (847) 882-3383
- NPI assigned
- Feb 13, 2007
- Last updated
- Jun 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ann Reyes
- Title
- Office Manager
- Phone
- (847) 882-3360
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.021872 | IL | |
| Pediatric Dentistry | 1223P0221X | 019.021868 | IL | Primary |
| Pediatric Dentistry | 1223P0221X | 019.023646 | IL | |
| Pediatric Dentistry | 1223P0221X | 019.026464 | IL | |
| Pediatric Dentistry | 1223P0221X | 019.015237 | IL | |
| Pediatric Dentistry | 1223P0221X | 019.025711 | IL |
Addresses
Primary practice location
80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195
Mailing address
80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195-3111
Phone (847) 882-3360
Other practice location 1
1000 Grand Canyon Pkwy
Suite 103
Hoffman Estates, IL 60194-1705
Phone (847) 882-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019.021868 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
1000 Grand Canyon Pkwy
Ste 103
Hoffman Estates, IL 60169
Phone (847) 882-3360
80 W Hillcrest Blvd
Ste 212
Schaumburg, IL 60195
Phone (847) 636-6767
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Schaumburg, IL
- NPI 1750697942
-
- Pediatric Dentistry
- Schaumburg, IL
- NPI 1972766798
-
- Dentist
- Schaumburg, IL
- NPI 1235392986
-
- Pediatric Dentistry
- Schaumburg, IL
- NPI 1952564585
-
- Pediatric Dentistry
- Schaumburg, IL
- NPI 1619403458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530057600000",
"number": "1043352354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 W HILLCREST BLVD STE 212",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953111",
"telephone_number": "847-882-3360",
"fax_number": "847-882-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W HILLCREST BLVD STE 212",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60195",
"telephone_number": "847-882-3360",
"fax_number": "847-882-3383"
}
],
"practiceLocations": [
{
"address_1": "1000 Grand Canyon Pkwy",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601941705",
"country_code": "US",
"telephone_number": "847-882-3360",
"fax_number": "847-882-3383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ABC DENTISTRY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2018-06-27",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-882-3360"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.021872",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.021868",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.023646",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.026464",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.015237",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.025711",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019.021868",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.