Prospect Heights Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01924722 Issued in IL

Legal business name

PROSPECT HEIGHTS FAMILY DENTAL

Practice address

846 N Elmhurst Rd
Prospect Heights, IL 60070-1132

Phone

(847) 229-7988

Fax

(847) 229-1985

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Irina AyngornNPI 1982740973

Title

Owner

Phone

(847) 229-7988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irina Ayngorn, DDS

  • General Practice Dentistry
  • Prospect Heights, IL
  • NPI 1982740973
  NPD (past) Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1093023616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 N ELMHURST RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701132",
            "telephone_number": "847-229-7988",
            "fax_number": "847-229-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 N ELMHURST RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701132",
            "telephone_number": "847-229-7988",
            "fax_number": "847-229-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HEIGHTS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "AYNGORN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-229-7988"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01924722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathway to Hope Therapeutic Services
• Pathway to Hope Therapeutic Services
• Uday Balkrishna Phatak, DDS
• Physicians for Natural Healing and Rehabilitation
• Prime Care Seven, LLC
• Prospect Heights Fire Protection District
• Prospect Heights Operations LLC
• Prospect Heights School District 23
• Laeeq Rai
• Rebecca J Reynolds, MA, EDD

• General Practice Dentistry in Prospect Heights, IL
• Providers in Prospect Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.