Active NPI
Teuscher Legacy Dental
- Dentist
- St Charles, IL
National Provider Identifier
1326871047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TEUSCHER LEGACY DENTAL
- Practice address
- 40W131 Campton Crossings Dr
St Charles, IL 60175-2910 - Phone
- (630) 762-0000
- NPI assigned
- Aug 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Joseph Teuscher
- Title
- Owner
- Phone
- (630) 762-0000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
40W131 Campton Crossings Dr
St Charles, IL 60175-2910
Mailing address
40W131 Campton Crossings Dr
St Charles, IL 60175-2910
Phone (630) 762-0000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194981092 | Other | IL | NPI |
| 1164149829 | Other | IL | NPI |
| 1275157372 | Other | IL | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Teuscher Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- St Charles, IL
- NPI 1053896183
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- St Charles, IL
- NPI 1194981092
-
- General Practice Dentistry
- St Charles, IL
- NPI 1275157372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1326871047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40W131 CAMPTON CROSSINGS DR",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601752910",
"telephone_number": "630-762-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W131 CAMPTON CROSSINGS DR",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601752910",
"telephone_number": "630-762-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEUSCHER LEGACY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-28",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "TEUSCHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-762-0000"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1194981092",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1164149829",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275157372",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.