Organization Active NPI

Vernon Dental Care

  • General Practice Dentistry
  • Vernon Hills, IL
National Provider Identifier
1275199051
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VERNON DENTAL CARE
Practice address
125 E. Townline Road
Vernon Hills, IL 60051
Phone
(847) 367-1890
Fax
(847) 990-1087
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Mrs. Pryia Boinpally, DDS
Title
Owner
Phone
(847) 367-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

125 E. Townline Road
Vernon Hills, IL 60051

Mailing address

125 E. Townline Road
Vernon Hills, IL 60051
Phone (847) 367-1890

National Provider Directory

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": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1275199051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E. TOWNLINE ROAD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60051",
            "telephone_number": "847-367-1890",
            "fax_number": "847-990-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E. TOWNLINE ROAD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60051",
            "telephone_number": "847-367-1890",
            "fax_number": "847-990-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "BOINPALLY",
        "authorized_official_first_name": "PRYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-367-4890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.