NPIMap

Organization Active NPI

South Schaumburg Dental Professionals LTD

  • Dentist
  • Hoffman Estates, IL
National Provider Identifier
1326112491
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019002 Issued in IL
Legal business name
SOUTH SCHAUMBURG DENTAL PROFESSIONALS LTD
Practice address
1585 N Barrington Rd
Suite 205
Hoffman Estates, IL 60169
Phone
(847) 884-0120
Fax
(847) 884-0344
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Teruyuki Hatakeyama, DDSNPI 1578639738
Title
Dentist President
Phone
(847) 884-0120

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 019019002 IL Primary

Addresses

Primary practice location

1585 N Barrington Rd
Suite 205
Hoffman Estates, IL 60169

Mailing address

1585 N Barrington Rd
Suite 205
Hoffman Estates, IL 60169
Phone (847) 884-0120

Other names 1

  • Hoffman Estates Dental Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

1585 N Barrington Rd
Ste 205
Hoffman Estates, IL 60169
Phone (847) 884-0120

Practitioners & affiliated clinicians

Practitioners 3

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1326112491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD",
            "address_2": "SUITE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-0120",
            "fax_number": "847-884-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD",
            "address_2": "SUITE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-0120",
            "fax_number": "847-884-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SCHAUMBURG DENTAL PROFESSIONALS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "HATAKEYAMA",
        "authorized_official_first_name": "TERUYUKI",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "847-884-0120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoffman Estates Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

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