Organization Active NPI

1St Family Dental of Aurora Inc

  • Dentist
  • Aurora, IL
National Provider Identifier
1083840979
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019023616 Issued in IL
Legal business name
1ST FAMILY DENTAL OF AURORA INC
Practice address
55 S Commons Dr
Aurora, IL 60504-4110
Phone
(630) 585-1155
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Vesna Belkic
Title
General Manager
Phone
(773) 340-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019023616 IL Primary

Addresses

Primary practice location

55 S Commons Dr
Aurora, IL 60504-4110

Mailing address

5333 N Clark St
Chicago, IL 60640-2121
Phone (773) 728-5333

National Provider Directory

National Provider Directory

Locations

55 S Commons Dr
Aurora, IL 60504
Phone (630) 585-1155

Practitioners & affiliated clinicians

Practitioners 1

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1083840979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402121",
            "telephone_number": "773-728-5333",
            "fax_number": "773-739-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S COMMONS DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044110",
            "telephone_number": "630-585-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST FAMILY DENTAL OF AURORA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "BELKIC",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "773-340-8318"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.