NPIMap

Organization Active NPI

Palatine Dentistry PC

  • Dentist
  • Palatine, IL
National Provider Identifier
1295905131
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PALATINE DENTISTRY PC
Practice address
855 E Palatine Rd Ste 100
Palatine, IL 60074-5500
Phone
(847) 776-8043
Fax
(847) 776-8061
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Amalou Villanueva Lim, DDSNPI 1508869876
Title
Dentist
Phone
(847) 776-8043

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 IL Primary

Addresses

Primary practice location

855 E Palatine Rd Ste 100
Palatine, IL 60074-5500

Mailing address

855 E Palatine Rd Ste 100
Palatine, IL 60074-5500
Phone (847) 776-8043

National Provider Directory

National Provider Directory

Locations

855 E Palatine Rd
Ste 100
Palatine, IL 60074
Phone (847) 776-8043

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1295905131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E PALATINE RD STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745500",
            "telephone_number": "847-776-8043",
            "fax_number": "847-776-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E PALATINE RD STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745500",
            "telephone_number": "847-776-8043",
            "fax_number": "847-776-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATINE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "AMALOU",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-776-8043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.