NPIMap

Organization Active NPI

Amit Sud DDS @ Anita Verma DDS

Doing business as Woodlake Family Dental

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1093904435
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMIT SUD DDS @ ANITA VERMA DDS
Doing business as
Woodlake Family Dental
Practice address
2879 W 95TH St Ste 131
Naperville, IL 60564-9008
Phone
(630) 753-9955
Fax
(630) 753-9966
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Amit Sud, DDSNPI 1972647295
Title
President
Phone
(630) 753-9955

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 IL Primary

Addresses

Primary practice location

2879 W 95TH St Ste 131
Naperville, IL 60564-9008

Mailing address

2879 W 95TH St Ste 131
Naperville, IL 60564-9008
Phone (630) 753-9955

Other names 1

  • Woodlake Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2879 95th St
Ste 131
Naperville, IL 60564
Phone (630) 753-9955

Practitioners & affiliated clinicians

Practitioners 7

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1093904435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 W 95TH ST STE 131",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649008",
            "telephone_number": "630-753-9955",
            "fax_number": "630-753-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 W 95TH ST STE 131",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649008",
            "telephone_number": "630-753-9955",
            "fax_number": "630-753-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT SUD DDS @ ANITA VERMA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SUD",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-753-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.