NPIMap

Organization Active NPI

Russell S. Pollina D.D.S., PC

  • Pediatric Dentistry
  • Mount Prospect, IL
National Provider Identifier
1336483825
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RUSSELL S. POLLINA D.D.S., PC
Practice address
601 W. Central Road
Suite 4
Mt. Prospect, IL 60056
Phone
(847) 392-2457
Fax
(847) 392-6119
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Dr. Russell S. Pollina, D.D.S.NPI 1699847871
Title
Owner/President
Phone
(847) 392-2457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

601 W. Central Road
Suite 4
Mt. Prospect, IL 60056

Mailing address

601 W. Central Road
Suite 4
Mt. Prospect, IL 60056
Phone (847) 392-2457

National Provider Directory

National Provider Directory
Tax ID family
Russell S Pollina DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1336483825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W. CENTRAL ROAD",
            "address_2": "SUITE 4",
            "city": "MT. PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-392-2457",
            "fax_number": "847-392-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W. CENTRAL ROAD",
            "address_2": "SUITE 4",
            "city": "MT. PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-392-2457",
            "fax_number": "847-392-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL S. POLLINA D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "POLLINA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-392-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.