Palos Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-017178 Issued in IL

Legal business name

PALOS FAMILY DENTAL LLC

Practice address

7132 W 127TH St
Palos Heights, IL 60463-1560

Phone

(708) 448-4161

Fax

(708) 448-4326

NPI assigned

Jun 5, 2014

Last updated

Jun 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip H Collins, DDSNPI 1568534493

Title

Owner

Phone

(708) 448-4161

Specialties & licenses 2

Addresses

Other names 1

• Dr Philip H. Collins DDS Former legal business name

Locations

Practitioners 2

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.

• Philip H. Collins, DDS

  • General Practice Dentistry
  • Palos Heights, IL
  • NPI 1568534493
  NPD (past) Authorized official
• Nathaniel Stephen Rood, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1679648265
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1144633314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 W 127TH ST",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631560",
            "telephone_number": "708-448-4161",
            "fax_number": "708-448-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7132 W 127TH ST",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631560",
            "telephone_number": "708-448-4161",
            "fax_number": "708-448-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-448-4161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-028616",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-017178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Philip H. Collins DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Palos Community Hospital
• Palos Community Hospital
• Palos Community Hospital
• Palos Diagnostics SC
• Palos Emergency Medical Services, LTD
• Palos Heights Dental Group, P.C.
• Palos Heights Fire Protection District
• Palos Heights Medical Center (shakir moiduddin)
• Palos Heights School District 128
• Palos Heights Sleep Center LTD

• General Practice Dentistry in Palos Heights, IL
• Providers in Palos 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 Jun 5, 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.