NPIMap

Organization Active NPI

Easy Dental Care LLC

  • Dentist
  • McHenry, IL
National Provider Identifier
1245481977
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
IL 019-023530 Issued in IL
Legal business name
EASY DENTAL CARE LLC
Practice address
712 Front Street
McHenry, IL 60050-5530
Phone
(815) 363-1577
Fax
(815) 363-1677
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Yong S Chang, DDSNPI 1568613297
Title
Dentist / Owner
Phone
(815) 363-1577

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL 019-023530 IL Primary

Addresses

Primary practice location

712 Front Street
McHenry, IL 60050-5530

Mailing address

712 Front Street
McHenry, IL 60050-5530
Phone (815) 363-1577

National Provider Directory

National Provider Directory

Locations

712 Front St
McHenry, IL 60050
Phone (815) 363-1577

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1245481977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FRONT STREET",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505530",
            "telephone_number": "815-363-1577",
            "fax_number": "815-363-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FRONT STREET",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505530",
            "telephone_number": "815-363-1577",
            "fax_number": "815-363-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "815-363-1577",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "IL 019-023530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.