NPIMap

Organization Active NPI

Schaumburg Dental Care, PC/a-One Dental

  • Dentist
  • Hanover Park, IL
National Provider Identifier
1346647443
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017342 Issued in IL
Legal business name
SCHAUMBURG DENTAL CARE, PC/A-ONE DENTAL
Practice address
2071 Irving Park Rd
Suite 101
Hanover Park, IL 60133-3159
Phone
(847) 310-0100
Fax
(847) 220-9218
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Mayank R Adatia, DDS
Title
Dentiast
Phone
(847) 769-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019017342 IL Primary

Addresses

Primary practice location

2071 Irving Park Rd
Suite 101
Hanover Park, IL 60133-3159

Mailing address

2071 Irving Park Rd
Suite 101
Hanover Park, IL 60133-3159
Phone (847) 310-0100

National Provider Directory

National Provider Directory
Tax ID family
A-1 Schaumburg Dental Care2 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.

Locations

2071 Irving Park Rd
Ste 101
Hanover Park, IL 60133
Phone (847) 310-0100

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1346647443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 IRVING PARK RD",
            "address_2": "SUITE 101",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333159",
            "telephone_number": "847-310-0100",
            "fax_number": "847-220-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 IRVING PARK RD",
            "address_2": "SUITE 101",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333159",
            "telephone_number": "847-310-0100",
            "fax_number": "847-220-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAUMBURG DENTAL CARE, PC/A-ONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "ADATIA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIAST",
        "authorized_official_telephone_number": "847-769-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.