Virden Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024390 Issued in IL

Legal business name

VIRDEN DENTAL CARE

Practice address

140 E Dean St
Virden, IL 62690-1446

Phone

(217) 965-3032

Fax

(217) 965-4312

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Julio C. Morales, D.D.S.

Title

Owner/Dentist

Phone

(217) 965-3032

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethel A Buerk, DMD

  • Dentist
  • Virden, IL
  • NPI 1780750430
  NPD (past)
• Cole Anthony Kallenbach, DMD

  • General Practice Dentistry
  • Virden, IL
  • NPI 1023943859
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1376980375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E DEAN ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901446",
            "telephone_number": "217-965-3032",
            "fax_number": "217-965-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E DEAN ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901446",
            "telephone_number": "217-965-3032",
            "fax_number": "217-965-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRDEN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "217-965-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028033",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Care and Rehabilitation Center LLC
• Sunrise Manor of Virden Inc
• Sunrise Manor of Virden, Inc
• Dubie Roseanne Lazo Viray, DPT
• Virden Comm Unit School Dist 4
• Virden Family Dental
• Vittal V Chapa MD SC

• General Practice Dentistry in Virden, IL
• Providers in Virden, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.