Active NPI
1St Family Dental Inc
Doing business as 1st Family Dental of Algonquin
- Dental Clinic/Center
- Algonquin, IL
National Provider Identifier
1114550043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- 1ST FAMILY DENTAL INC
- Doing business as
- 1st Family Dental of Algonquin
- Practice address
- 1496 Merchant Dr
Algonquin, IL 60102-5917 - Phone
- (847) 845-2970
- NPI assigned
- Feb 19, 2020
- Last updated
- Feb 19, 2020
- Organization subpart
- Yes
- Parent organization
- 1ST FAMILY DENTAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vesna Belkic
- Title
- Coo
- Phone
- (773) 340-8318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1496 Merchant Dr
Algonquin, IL 60102-5917
Mailing address
4901 N Kedzie Ave
Chicago, IL 60625-5009
Other names 1
- 1st Family Dental of Algonquin
National Provider Directory
National Provider Directory- Tax ID family
- 1St Family Dental Inc
- Part of
- 1St Family Dental Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba 1st Family Dental of West Roseland
- General Practice Dentistry
- Chicago, IL
- NPI 1578197026
Locations
1496 Merchant Dr
Algonquin, IL 60102
Phone (847) 845-2970
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": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1114550043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 N KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1496 MERCHANT DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025917",
"telephone_number": "847-845-2970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST FAMILY DENTAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1ST FAMILY DENTAL INC",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "BELKIC",
"authorized_official_first_name": "VESNA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "773-340-8318"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "1st Family Dental of Algonquin",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.