NPIMap

Organization Active NPI

Cumberland Dental Associates, LTD.

  • Dental Clinic/Center
  • Norridge, IL
National Provider Identifier
1043356926
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
06000309719014556 Issued in IL
Legal business name
CUMBERLAND DENTAL ASSOCIATES, LTD.
Practice address
4701 N Cumberland Ave
Norridge, IL 60706-2905
Phone
(708) 452-1880
Fax
(708) 452-5004
NPI assigned
Jan 29, 2007
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. William T Parilla, DDSNPI 1679824643
Title
President
Phone
(705) 452-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 06000309719014556 IL Primary

Addresses

Primary practice location

4701 N Cumberland Ave
Norridge, IL 60706-2905

Mailing address

4701 N Cumberland Ave
Norridge, IL 60706-2905
Phone (708) 452-1880

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1043356926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N CUMBERLAND AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062905",
            "telephone_number": "708-452-1880",
            "fax_number": "708-452-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N CUMBERLAND AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062905",
            "telephone_number": "708-452-1880",
            "fax_number": "708-452-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND DENTAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "PARILLA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "705-452-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "06000309719014556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.