Organization Active NPI

Brentwood Family Dental

  • General Practice Dentistry
  • Bensenville, IL
National Provider Identifier
1225203953
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025357 Issued in IL
Legal business name
BRENTWOOD FAMILY DENTAL
Practice address
1145 S York Rd
Bensenville, IL 60106-3342
Phone
(630) 694-4937
Fax
(630) 694-9953
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Thirunindravur L. Ramadorai, D.D.S.NPI 1770608903
Title
Dentist
Phone
(630) 694-4937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025357 IL Primary

Addresses

Primary practice location

1145 S York Rd
Bensenville, IL 60106-3342

Mailing address

1145 S York Rd
Bensenville, IL 60106-3342
Phone (630) 694-4937

National Provider Directory

National Provider Directory

Locations

1145 S York Rd
Bensenville, IL 60106
Phone (630) 238-0181

Practitioners & affiliated clinicians

Practitioners 1

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1225203953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063342",
            "telephone_number": "630-694-4937",
            "fax_number": "630-694-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063342",
            "telephone_number": "630-694-4937",
            "fax_number": "630-694-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "RAMADORAI",
        "authorized_official_first_name": "THIRUNINDRAVUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-694-4937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.