NPIMap

Organization Active NPI

Taube Family Dental

  • Dentist
  • Mascoutah, IL
National Provider Identifier
1073968509
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029166 Issued in IL
Legal business name
TAUBE FAMILY DENTAL
Practice address
104 E Main St
Mascoutah, IL 62258-2135
Phone
(618) 566-7384
Fax
(618) 566-4290
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. Erik Taube, DMDNPI 1891043451
Title
Owner
Phone
(618) 566-7384

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019029166 IL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019022047 IL

Addresses

Primary practice location

104 E Main St
Mascoutah, IL 62258-2135

Mailing address

104 E Main St
PO Box 142
Mascoutah, IL 62258-2135
Phone (618) 566-7384

National Provider Directory

National Provider Directory

Locations

104 E Main St
Mascoutah, IL 62258
Phone (618) 566-7384

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1073968509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "address_2": "PO BOX 142",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582135",
            "telephone_number": "618-566-7384",
            "fax_number": "618-566-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582135",
            "telephone_number": "618-566-7384",
            "fax_number": "618-566-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAUBE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "TAUBE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-566-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029166",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.