Organization Active NPI

Parkway Dental PC

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1053618462
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.024518 Issued in IL
Legal business name
PARKWAY DENTAL PC
Practice address
1332 W Algonquin Rd
Arlington Heights, IL 60005-3401
Phone
(847) 259-5600
Fax
(847) 259-6566
NPI assigned
Feb 21, 2011
Last updated
Feb 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Daniel I Song, DDSNPI 1477636595
Title
Dr/Owner
Phone
(847) 259-5600

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 Dentistry 1223G0001X 019.024518 IL Primary

Addresses

Primary practice location

1332 W Algonquin Rd
Arlington Heights, IL 60005-3401

Mailing address

1332 W Algonquin Rd
Arlington Heights, IL 60005-3401
Phone (847) 259-5600

National Provider Directory

National Provider Directory

Locations

1332 W Algonquin Rd
Arlington Heights, IL 60005
Phone (847) 259-5600

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": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1053618462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W ALGONQUIN RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053401",
            "telephone_number": "847-259-5600",
            "fax_number": "847-259-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W ALGONQUIN RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053401",
            "telephone_number": "847-259-5600",
            "fax_number": "847-259-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "847-259-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.024518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.