NPIMap

Organization Active NPI

Advanced Fmaily Dental & Orthodontics, P.C.

  • Dentist
  • Woodridge, IL
National Provider Identifier
1245679448
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019016447 Issued in IL
Legal business name
ADVANCED FMAILY DENTAL & ORTHODONTICS, P.C.
Practice address
3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442
Phone
(815) 741-1700
Fax
(815) 483-2298
NPI assigned
Jun 20, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. David Rubis, D.D.S.NPI 1699873588
Title
President
Phone
(815) 741-1700

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 019016447 IL Primary

Addresses

Primary practice location

3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442

Mailing address

3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442
Phone (815) 741-1700

National Provider Directory

National Provider Directory
Tax ID family
Advanced Family Dental and Orthodontics PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1245679448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FMAILY DENTAL & ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.