NPIMap

Organization Active NPI

Everyone's Family Dental St. Charles LLC

  • Dentist
  • Normal, IL
National Provider Identifier
1235557109
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028603 Issued in IL
Legal business name
EVERYONE'S FAMILY DENTAL ST. CHARLES LLC
Practice address
1604 Visa Dr
Unit #3
Normal, IL 61761-2195
Phone
(773) 844-5283
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Jubrail Sweis, DDS
Title
Owner
Phone
(773) 844-5283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028603 IL Primary

Addresses

Primary practice location

1604 Visa Dr
Unit #3
Normal, IL 61761-2195

Mailing address

1400 Lincoln Hwy
Unit B
St Charles, IL 60174-3580
Phone (773) 844-5283

National Provider Directory

National Provider Directory
Tax ID family
Everyone's Family Dental St Charles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1604 Visa Dr
Unit 3
Normal, IL 61761
Phone (309) 660-9159

1400 Lincoln Hwy
Ste B
St Charles, IL 60174
Phone (630) 549-7916

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1235557109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LINCOLN HWY",
            "address_2": "UNIT B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743580",
            "telephone_number": "773-844-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VISA DR",
            "address_2": "UNIT #3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612195",
            "telephone_number": "773-844-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYONE'S FAMILY DENTAL ST. CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "JUBRAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-844-5283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.