NPIMap

Organization Active NPI

Everyone's Family Dental Normal LLC

  • Dentist
  • Normal, IL
National Provider Identifier
1346783982
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028603 Issued in IL
Legal business name
EVERYONE'S FAMILY DENTAL NORMAL LLC
Practice address
1604 Visa Dr
Ste 3
Normal, IL 61761-2195
Phone
(773) 610-1041
NPI assigned
Nov 30, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Jubrail Sweis, D.D.S
Title
Owner/Dentist
Phone
(773) 610-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028603 IL Primary

Addresses

Primary practice location

1604 Visa Dr
Ste 3
Normal, IL 61761-2195

Mailing address

1604 Visa Dr
Ste 3
Normal, IL 61761-2195

National Provider Directory

National Provider Directory
Tax ID family
Everyone's Family Dental Normal LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1346783982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 VISA DR",
            "address_2": "STE 3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VISA DR",
            "address_2": "STE 3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612195",
            "telephone_number": "773-610-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYONE'S FAMILY DENTAL NORMAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "JUBRAIL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "773-610-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.