NPIMap

Organization Active NPI

Dental Fields

  • Dentist
  • Dekalb, IL
National Provider Identifier
1376938100
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028703 Issued in IL
Legal business name
DENTAL FIELDS
Practice address
2235 Sycamore Road
Dekalb, IL 60115
Phone
(630) 808-3487
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Nishu Sharma
Title
President
Phone
(630) 808-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028703 IL Primary

Addresses

Primary practice location

2235 Sycamore Road
Dekalb, IL 60115

Mailing address

PO Box 597
South Elgin, IL 60177-0597

National Provider Directory

National Provider Directory

Locations

2235 Sycamore Rd
DeKalb, IL 60115
Phone (630) 808-3487

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1376938100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601770597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 SYCAMORE ROAD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "630-808-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FIELDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NISHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-808-3487"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.