Organization Active NPI

Dental Care of Oakbrook, P.C

  • General Practice Dentistry
  • Oakbrook Terrace, IL
National Provider Identifier
1215212675
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL CARE OF OAKBROOK, P.C
Practice address
17W300 22ND St
Suite 350
Oakbrook Terrace, IL 60181-4405
Phone
(630) 833-2800
Fax
(630) 833-2821
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Dr. Kimet Abdullai, D.D.SNPI 1417012378
Title
Dentist
Phone
(630) 833-2800

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17W300 22ND St
Suite 350
Oakbrook Terrace, IL 60181-4405

Mailing address

17W300 22ND St
Suite 350
Oakbrook Terrace, IL 60181-4405
Phone (630) 833-2800

National Provider Directory

National Provider Directory

Locations

17W300 22nd St
Ste 350
Oakbrook Terrace, IL 60181
Phone (630) 833-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1215212675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE 350",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-833-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE 350",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-833-2800",
            "fax_number": "630-833-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF OAKBROOK, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "ABDULLAI",
        "authorized_official_first_name": "KIMET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-833-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.