Active NPI
Oak Brook Dental Center Inc.
- Dentist
- Oak Brook, IL
National Provider Identifier
1174792568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- OAK BROOK DENTAL CENTER INC.
- Practice address
- 120 Oak Brook Center Mall Ste 622
Oak Brook, IL 60523-4745 - Phone
- (630) 368-0020
- Fax
- (630) 368-0055
- NPI assigned
- Feb 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oliver V. Van, DDS
- Title
- President
- Phone
- (630) 368-0020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
120 Oak Brook Center Mall Ste 622
Oak Brook, IL 60523-4745
Mailing address
120 Oak Brook Center Mall Ste 622
Oak Brook, IL 60523-4745
Phone (630) 368-0020
National Provider Directory
National Provider DirectoryLocations
120 Oakbrook Ctr
Ste 622
Oak Brook, IL 60523
Phone (630) 368-0020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oak Brook, IL
- NPI 1215106604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1174792568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 OAK BROOK CENTER MALL STE 622",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605234745",
"telephone_number": "630-368-0020",
"fax_number": "630-368-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 OAK BROOK CENTER MALL STE 622",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605234745",
"telephone_number": "630-368-0020",
"fax_number": "630-368-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK BROOK DENTAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "VAN",
"authorized_official_first_name": "OLIVER",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-368-0020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
- Oak Brook Chiropractic Center PC
- Oak Brook Clinic, LLC
- Oak Brook Counseling & Wellness LTD
- Oak Brook Dental Affiliates P.C.
- Oak Brook Dental Associates
- Oak Brook Dental Group
- Oak Brook Fertility Center, LTD.
- Oak Brook Healthcare Centre, LTD.
- Oak Brook Home Health LLC
- Oak Brook Medical Associates, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.