NPIMap

Organization Active NPI

Pediatric Dental Associates,PS

  • Pediatric Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1194809731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTAL ASSOCIATES,PS
Practice address
195 N Arlington Heights Rd
Suite 150
Buffalo Grove, IL 60089-8211
Phone
(847) 537-7695
Fax
(847) 537-6758
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lynn Ellyn Feinstein
Title
Office Manager
Phone
(847) 537-7695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

195 N Arlington Heights Rd
Suite 150
Buffalo Grove, IL 60089-8211

Mailing address

195 N Arlington Heights Rd
Suite 150
Buffalo Grove, IL 60089-8211
Phone (847) 537-7695

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dental Associates PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194809731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 150",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898211",
            "telephone_number": "847-537-7695",
            "fax_number": "847-537-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 150",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898211",
            "telephone_number": "847-537-7695",
            "fax_number": "847-537-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEINSTEIN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ELLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-537-7695",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.