NPIMap

Organization Active NPI

R. Aaron Eissens, DDS, PC

  • Dental Clinic/Center
  • North Aurora, IL
National Provider Identifier
1356588941
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-026384 Issued in IL
Legal business name
R. AARON EISSENS, DDS, PC
Practice address
925 Oak St
North Aurora, IL 60542-1579
Phone
(630) 906-9520
Fax
(630) 906-1915
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Dr. Ray Aaron Eissens, D.D.S.NPI 1457590069
Title
President
Phone
(630) 906-9520

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
Dental Clinic/Center 261QD0000X 019-026384 IL Primary

Addresses

Primary practice location

925 Oak St
North Aurora, IL 60542-1579

Mailing address

925 Oak St
North Aurora, IL 60542-1579
Phone (630) 906-9520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1356588941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421579",
            "telephone_number": "630-906-9520",
            "fax_number": "630-906-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421579",
            "telephone_number": "630-906-9520",
            "fax_number": "630-906-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. AARON EISSENS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "EISSENS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-906-9520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-026384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.