Northbrook Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019026122 Issued in IL

Legal business name

NORTHBROOK DENTAL CARE LLC

Practice address

1135 Church St
Northbrook, IL 60062

Phone

(847) 205-9337

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jay W Rodgers, DDS

Title

Ceo

Phone

(312) 420-3614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1326311622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CHURCH ST",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623601",
            "telephone_number": "847-205-9337",
            "fax_number": "847-972-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CHURCH ST",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-205-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-420-3614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Suburban Center for Anxiety, LLC
• North Suburban Oral Surgery, LTD
• North Suburban Psychologists Inc.
• Northbrook Chiropractic and Natural Care Center SC
• Northbrook Court Dental Associates,P.C.
• Northbrook Dental Care, LTD.
• Northbrook District 27
• Northbrook Ele SCH Dis 28
• Northbrook Family Dental PLLC
• Northbrook Health and Rehab, LLC

• Dental Clinic/Center in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.