Organization Active NPI

Schaumburg Dental Care, PC

  • Dental Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1366612889
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SCHAUMBURG DENTAL CARE, PC
Practice address
932 Bode Rd
Schaumburg, IL 60194-2702
Phone
(847) 769-4132
Fax
(847) 310-6796
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Mayank R Adatia, D.D.S
Title
President
Phone
(847) 310-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

932 Bode Rd
Schaumburg, IL 60194-2702

Mailing address

932 Bode Rd
Schaumburg, IL 60194-2702
Phone (847) 769-4132

Other names 1

  • A-1 Schaumburg Dental Care Doing business as

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

932 Bode Rd
Schaumburg, IL 60194
Phone (847) 769-4132

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1366612889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 BODE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942702",
            "telephone_number": "847-769-4132",
            "fax_number": "630-544-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 BODE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942702",
            "telephone_number": "847-769-4132",
            "fax_number": "847-310-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAUMBURG DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ADATIA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-310-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-1 Schaumburg Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.