Organization Active NPI

Larisa Feldman, DDS, PC

  • Dental Clinic/Center
  • Buffalo Grove, IL
National Provider Identifier
1285788133
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-025103 Issued in IL
Legal business name
LARISA FELDMAN, DDS, PC
Practice address
307 W Dundee Rd
Buffalo Grove, IL 60089-3545
Phone
(847) 638-6060
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Larisa Feldman, DDA
Title
President
Phone
(847) 638-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019-025103 IL Primary

Addresses

Primary practice location

307 W Dundee Rd
Buffalo Grove, IL 60089-3545

Mailing address

648 Long Cove CT
Riverwoods, IL 60015-3850
Phone (847) 638-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1285788133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 LONG COVE CT",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153850",
            "telephone_number": "847-638-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-638-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA FELDMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-638-6060",
        "authorized_official_credential": "DDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-025103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.