Regent Bundle of Reno

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REGENT BUNDLE OF RENO

Practice address

4 Westbrook Corp Ctr
Suite 440
Westchester, IL 60154-5752

Phone

(708) 492-0531

NPI assigned

Oct 28, 2016

Last updated

Oct 28, 2016By 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

Matt Lau

Title

Cfo

Phone

(708) 492-0531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1285186999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORP CTR",
            "address_2": "SUITE 440",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545752",
            "telephone_number": "708-492-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORP CTR",
            "address_2": "SUITE 440",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545752",
            "telephone_number": "708-492-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT BUNDLE OF RENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-492-0531"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph E. Ransford, D.D.S., LTD.
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• Katie Rhebergen
• Ivory Rhymes, NP

• Ambulatory Surgical Clinic/Center in Westchester, IL
• Providers in Westchester, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.