Auburn Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

019-025844 Issued in IL

Legal business name

AUBURN DENTAL CARE

Practice address

500 E Jackson St
Auburn, IL 62615

Phone

(217) 434-3721

NPI assigned

Dec 22, 2016

Organization subpart

Yes

Parent organization

SOUTHERN VIEW DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Refaat Hassan

Title

Dentist

Phone

(217) 416-6022

Specialties & licenses 1

Addresses

Tax ID family

Southern View Dental Group2 organizations share this tax ID, including this one

Part of

Southern View Dental Group

Other organizations with this tax ID 1

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

• Southern View Dental Group

  • Dentist
  • Springfield, IL
  • NPI 1396835732
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern View Dental Group

  • Dentist
  • Springfield, IL
  • NPI 1396835732
  NPPES parent name

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1346785672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "62615",
            "telephone_number": "217-434-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "62615",
            "telephone_number": "217-434-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN VIEW DENTAL GROUP",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "REFAAT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-416-6022"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Care Auburn LLC
• Arcadia Care Auburn LLC
• Kimberley Kaye Armour, APRN FPA, AGPCNP-C
• Auburn Area Ambulance Service
• Auburn Comm Unit School Dist 10
• Auburn Nursing and Rehabilitation Center LLC
• Alyson Bass, RID CI,CT
• Amy Marie Bickel, CPHT
• Chelsea R Black, RDH
• Scott Borntreger, RPH

• All providers in Auburn, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.