NPIMap

Organization Active NPI

Grace Dental P.C,

  • General Practice Dentistry
  • Hoffman Estates, IL
National Provider Identifier
1164790200
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-026114 Issued in IL
Legal business name
GRACE DENTAL P.C,
Practice address
5437 Swan Cir
Hoffman Estates, IL 60192-4618
Phone
(847) 650-0260
NPI assigned
Dec 4, 2011
Last updated
Dec 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Authorized official

Name
Dr. Lisa Yujin Lee
Title
Co-President
Phone
(847) 650-0260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-028193 IL
General Practice Dentistry 1223G0001X 019-026114 IL Primary

Addresses

Primary practice location

5437 Swan Cir
Hoffman Estates, IL 60192-4618

Mailing address

5437 Swan Cir
Hoffman Estates, IL 60192-4618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1164790200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 SWAN CIR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 SWAN CIR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924618",
            "telephone_number": "847-650-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "YUJIN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "847-650-0260",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-028193",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026114",
            "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 Dec 4, 2011; 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.