Above & Beyond Denistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ABOVE & BEYOND DENISTRY, LLC

Practice address

364 Financial CT Ste a
Rockford, IL 61107-6668

Phone

(815) 398-6545

Fax

(815) 398-6541

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By 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

Heather Shick, DMD

Title

Owner

Phone

(815) 398-6545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1174016893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 FINANCIAL CT STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076668",
            "telephone_number": "815-398-6545",
            "fax_number": "815-398-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 FINANCIAL CT STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076668",
            "telephone_number": "815-398-6545",
            "fax_number": "815-398-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND DENISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-398-6545",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.