NPIMap

Organization Active NPI

Apex-Northwestern Dental Group LLP

  • Dentist
  • Rockford, IL
National Provider Identifier
1326390113
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020600 Issued in IL
Legal business name
APEX-NORTHWESTERN DENTAL GROUP LLP
Practice address
364 Financial CT
Suite a
Rockford, IL 61107-6668
Phone
(815) 398-0303
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Lawrence A Mulvaney, DDS
Title
Managing Partner
Phone
(815) 398-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019020600 IL Primary

Addresses

Primary practice location

364 Financial CT
Suite a
Rockford, IL 61107-6668

Mailing address

364 Financial CT
Suite a
Rockford, IL 61107-6668
Phone (815) 398-0303

National Provider Directory

National Provider Directory

Locations

364 Financial Ct
Ste A
Rockford, IL 61107
Phone (815) 398-0303

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1326390113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 FINANCIAL CT",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076668",
            "telephone_number": "815-398-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 FINANCIAL CT",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076668",
            "telephone_number": "815-398-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX-NORTHWESTERN DENTAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "MULVANEY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "815-398-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.