NPIMap

Organization Active NPI

Teuscher Dental Group

  • Dentist
  • St Charles, IL
National Provider Identifier
1225196173
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019620 Issued in IL
Legal business name
TEUSCHER DENTAL GROUP
Practice address
40 W 320 Lafox Road
Suite D
St. Charles, IL 60175
Phone
(630) 762-0000
NPI assigned
Dec 4, 2006
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Michael Joseph Teuscher, DDSNPI 1194981092
Title
Owner
Phone
(630) 762-0000

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
Dentist 122300000X 019019620 IL Primary

Addresses

Primary practice location

40 W 320 Lafox Road
Suite D
St. Charles, IL 60175

Mailing address

40 W 320 Lafox Road
Suite D
St. Charles, IL 60175
Phone (630) 762-0000

Other practice location 1

419 N Mulford Rd
Ste 4
Rockford, IL 61107
Phone (815) 394-1222

Other names 2

  • Michael T Teuscher DDS Former legal business name
  • Teuscher Dental Other name

National Provider Directory

National Provider Directory

Locations

419 N Mulford Rd
Ste 4
Rockford, IL 61107
Phone (815) 394-1222

40W320 Lafox Rd
Ste D
St Charles, IL 60175
Phone (630) 762-0000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1225196173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 320 LAFOX ROAD",
            "address_2": "SUITE D",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-762-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 320 LAFOX ROAD",
            "address_2": "SUITE D",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-762-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 N Mulford Rd",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61107",
            "country_code": "US",
            "telephone_number": "815-394-1222",
            "fax_number": "815-394-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEUSCHER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "TEUSCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-762-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael T Teuscher DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Michael T Teuscher DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Teuscher Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.