Organization Active NPI

Rem DDS Inc

  • Dentist
  • Chicago, IL
National Provider Identifier
1053838672
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027569 Issued in IL
Legal business name
REM DDS INC
Practice address
8 S Michigan Ave
Chicago, IL 60603-3357
Phone
(847) 364-1911
NPI assigned
Aug 24, 2017
Organization subpart
Yes
Parent organization
REM DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Rikki Lieberth
Title
Office Manager
Phone
(402) 932-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027569 IL Primary

Addresses

Primary practice location

8 S Michigan Ave
Chicago, IL 60603-3357

Mailing address

8 S Michigan Ave
Chicago, IL 60603-3357

National Provider Directory

National Provider Directory
Tax ID family
Rem DDS Inc2 organizations share this tax ID, including this one
Part of
Rem DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1053838672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "847-364-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REM DDS INC",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "LIEBERTH",
        "authorized_official_first_name": "RIKKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-932-9413"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.