Dental Skills LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SKILLS LTD

Doing business as

Willow Bend Dental Care

Practice address

2202 1/2 Algonquin Road
Rolling Medows, IL 60008

Phone

(847) 870-0888

Fax

(847) 870-0897

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rupal Patel, DDS

Title

Dentist

Phone

(847) 870-0888

Specialties & licenses 1

Addresses

Other names 1

• Willow Bend Dental Care Doing business as

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.

• Gerald W Malis, DDS

  • General Practice Dentistry
  • Rolling Meadows, IL
  • NPI 1114946670
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1376102194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 1/2 ALGONQUIN ROAD",
            "city": "ROLLING MEDOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-870-0888",
            "fax_number": "847-870-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 1/2 ALGONQUIN ROAD",
            "city": "ROLLING MEDOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-870-0888",
            "fax_number": "847-870-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SKILLS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-870-0888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Bend Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.