Organization Active NPI

Palatine New Age Dental

  • Dentist
  • Palatine, IL
National Provider Identifier
1154595395
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PALATINE NEW AGE DENTAL
Practice address
2201 Plum Grove Rd
Palatine, IL 60067-9404
Phone
(847) 397-5868
Fax
(847) 397-6563
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Krikor H Papaian, DDS
Title
Dentist /Owner
Phone
(847) 397-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

2201 Plum Grove Rd
Palatine, IL 60067-9404

Mailing address

2201 Plum Grove Rd
Palatine, IL 60067-9404
Phone (847) 397-5868

National Provider Directory

National Provider Directory

Locations

2201 Plum Grove Rd
Rolling Meadows, IL 60067
Phone (847) 397-5868

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1154595395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679404",
            "telephone_number": "847-397-5868",
            "fax_number": "847-397-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679404",
            "telephone_number": "847-397-5868",
            "fax_number": "847-397-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATINE NEW AGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "PAPAIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST /OWNER",
        "authorized_official_telephone_number": "847-397-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.