Active NPI
Advance Family Dental Care, LTD.
- General Practice Dentistry
- Northbrook, IL
National Provider Identifier
1356818207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ADVANCE FAMILY DENTAL CARE, LTD.
- Practice address
- 105 Revere Dr Ste E
Northbrook, IL 60062-1594 - Phone
- (224) 282-8191
- Fax
- (224) 282-8167
- NPI assigned
- Oct 30, 2018
- Last updated
- Oct 30, 2018
- Organization subpart
- Yes
- Parent organization
- ADVANCE FAMILY DENTAL CARE, LTD.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pirooz Zomorrodi, DDS
- Title
- Ceo
- Phone
- (630) 802-3515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
105 Revere Dr Ste E
Northbrook, IL 60062-1594
Mailing address
105 Revere Dr Ste E
Northbrook, IL 60062-1594
Phone (224) 282-8191
National Provider Directory
National Provider Directory- Tax ID family
- Advance Family Dental Care LTD
- Part of
- Advance Family Dental Care LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Naperville, IL
- NPI 1538234430
Locations
105 Revere Dr
Ste E
Northbrook, IL 60062
Phone (224) 282-8191
Ownership & related parties
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.
-
- General Practice Dentistry
- Naperville, IL
- NPI 1538234430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540857600000",
"number": "1356818207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 REVERE DR STE E",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621594",
"telephone_number": "224-282-8191",
"fax_number": "224-282-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 REVERE DR STE E",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621594",
"telephone_number": "224-282-8191",
"fax_number": "224-282-8167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE FAMILY DENTAL CARE, LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCE FAMILY DENTAL CARE, LTD.",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A",
"authorized_official_last_name": "ZOMORRODI",
"authorized_official_first_name": "PIROOZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-802-3515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.