NPIMap

Organization Active NPI

Everyone'S Family Dental St Charles LLC

  • Dentist
  • Dixon, IL
National Provider Identifier
1255796074
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028609 Issued in IL
Legal business name
EVERYONE'S FAMILY DENTAL ST CHARLES LLC
Practice address
1355 N Galena Ave
Dixon, IL 61021-1009
Phone
(815) 847-9273
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Dr. Jubrail Sweis, D.D.SNPI 1043506496
Title
Dentist/Owner
Phone
(815) 847-9273

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 019028609 IL Primary

Addresses

Primary practice location

1355 N Galena Ave
Dixon, IL 61021-1009

Mailing address

1355 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 847-9273

National Provider Directory

National Provider Directory
Tax ID family
Everyone'S Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1255796074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211009",
            "telephone_number": "815-847-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211009",
            "telephone_number": "815-847-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYONE'S FAMILY DENTAL ST CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "JUBRAIL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "815-847-9273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.