Waukegan Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WAUKEGAN DENTAL CARE LLC

Practice address

338 S Green Bay Rd
Waukegan, IL 60085-4850

Phone

(847) 336-7800

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Syed S Rehman, DMD

Title

Ceo

Phone

(224) 366-0406

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sepi Dashti

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1619630480
  NPD
• Nishant Makadia, DDS

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1861103764
  NPD
• Michael S Papendick, D.D.S

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1801890215
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1265050959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 JASON LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732053",
            "telephone_number": "224-366-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854850",
            "telephone_number": "847-336-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-366-0406",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Washington
• Roberta Washington
• Paula G Watson, RN
• Kimberly Jean Watts, LCSW,MSW,CADC
• Waukegan Clinic Corp
• Waukegan Dialysis Associates PTR Kang Yann Lin Gen PTR
• Waukegan Family Family
• Waukegan Hearing Aid Center
• Waukegan Illinois Hospital Company LLC (Vista Medical Center East)
• Waukegan Illinois Hospital Company LLC (Vista Medical Center East)

• Dental Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.