Hickory Hills Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HICKORY HILLS DENTAL CENTER

Practice address

6735 W 95TH St
Oak Lawn, IL 60453-2112

Phone

(708) 598-0717

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Ruby, DMDNPI 1780804542

Title

Owner, Dentist

Phone

(630) 926-4600

Specialties & licenses 1

Addresses

Locations

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.

• Brian D. Ruby, DDS

  • Dentist
  • Oak Lawn, IL
  • NPI 1780804542
  Authorized official Same address or phone
• Malika Shariff

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
  • NPI 1902596661
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1255116463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10S411 MADISON ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276856",
            "telephone_number": "630-999-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-598-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8611 W 95th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hickory Hills",
            "state": "IL",
            "postal_code": "604572704",
            "country_code": "US",
            "telephone_number": "708-598-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HICKORY HILLS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "630-926-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Herron, D.O.
• Kathleen C Hertz
• Judith Hess, PT
• Hibernian Home Care
• John Hickey, PT
• Amauri Monae Hicks
• Mitchell Lawrence Hicks, BA
• Sarah Marie Hicks, M.D.
• Stephen D Hicks, NP
• Hailee Ryan Higgins, NP

• Dentist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.