Dental Roots PC

Primary specialty

DentistTaxonomy code 122300000X

License

019016447 Issued in IL

Legal business name

DENTAL ROOTS PC

Practice address

4015 Plainfield Naperville Rd
Suite 106
Naperville, IL 60564-4238

Phone

(630) 369-8700

Fax

(630) 948-3449

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 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

Dr. David Rubis, DDS

Title

President

Phone

(815) 369-8700

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Cairns, DMD

  • Dentist
  • Naperville, IL
  • NPI 1013368786
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1164836912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 PLAINFIELD NAPERVILLE RD",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644238",
            "telephone_number": "630-369-8700",
            "fax_number": "630-948-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 PLAINFIELD NAPERVILLE RD",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644238",
            "telephone_number": "630-369-8700",
            "fax_number": "630-948-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ROOTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-369-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Pointe
• Dental Professionals of Illinois, P.C (Innovative Orthodontic Centers)
• Dental Professionals of Illinois, P.C (Naperville Dental Specialists)
• Dental Professionals of Illinois, P.C (Innovative Pediatric Dentistry)
• Dental Professionals of Illinois, P.C. (Premier Dental Center)
• Dental Specialists of Naperville PC
• Amy Depratt, MS, RD, LDN
• Derick Dermatology, PLLC
• Dermatology Studio LLC
• Derosia Chiropractic, LLC

• Dentist in Naperville, IL
• Providers in Naperville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.