NPIMap

Organization Active NPI

Kids Plus Pediatric Dentistry

  • Pediatric Dentistry
  • Hoffman Estates, IL
National Provider Identifier
1134537889
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019023892 Issued in IL
Legal business name
KIDS PLUS PEDIATRIC DENTISTRY
Practice address
1786 Moon Lake Blvd
Suite 216
Hoffman Estates, IL 60169-5029
Phone
(847) 882-2555
Fax
(847) 628-1438
NPI assigned
Jul 25, 2014
Organization subpart
Yes
Parent organization
KIDS PLUS PEDIATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Denise Fisher
Title
President
Phone
(847) 882-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 019023892 IL Primary

Addresses

Primary practice location

1786 Moon Lake Blvd
Suite 216
Hoffman Estates, IL 60169-5029

Mailing address

1786 Moon Lake Blvd
Suite 216
Hoffman Estates, IL 60169-5029
Phone (847) 882-2555

National Provider Directory

National Provider Directory
Tax ID family
Kids Plus Pediatric Dentistry PC4 organizations share this tax ID, including this one
Part of
Kids Plus Pediatric Dentistry PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1786 Moon Lake Blvd
Ste 216
Hoffman Estates, IL 60169
Phone (847) 882-2555

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.

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": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1134537889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 216",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029",
            "telephone_number": "847-882-2555",
            "fax_number": "847-628-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 216",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029",
            "telephone_number": "847-882-2555",
            "fax_number": "847-628-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLUS PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS PLUS PEDIATRIC DENTISTRY",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-882-2555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019023892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.